Coastal Addiction Recovery LLC
NPI #1083184576 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1083184576
- Entity Type
- Organization
- Organization Name
- Coastal Addiction Recovery LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Nov 28, 2018
- Last Updated
- Nov 28, 2018
Practice Location
- Address
- 2179 ASHLEY PHOSPHATE RD STE B
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29406-4180
- Phone
- (843) 718-3168
Authorized Official
- Name
- JODIE MOORE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (843) 718-3168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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