Coastal Carolina Behavioral Healthcare LLC
NPI #1184990863 in Whiteville, North Carolina
Provider Information
- NPI Number
- 1184990863
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Behavioral Healthcare LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Jan 6, 2014
Practice Location
- Address
- 603 S MADISON ST
- City
- Whiteville
- State
- North Carolina
- ZIP Code
- 28472-4129
- Phone
- (910) 640-3535
Authorized Official
- Name
- JONATHAN ANDREW TRAYLOR
- Title
- PRESIDENT
- Phone
- (910) 640-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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