Coastal Mental Health Service Providers
NPI #1831320985 in Carolina Beach, North Carolina
Provider Information
- NPI Number
- 1831320985
- Entity Type
- Organization
- Organization Name
- Coastal Mental Health Service Providers
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 6, 2009
- Last Updated
- Nov 19, 2009
Practice Location
- Address
- 104 WINNER AVE
- Address 2
- SUITE 1
- City
- Carolina Beach
- State
- North Carolina
- ZIP Code
- 28428-4801
- Phone
- (910) 707-0516
Authorized Official
- Name
- MRS. DIANE LYNN DOUGAN
- Title
- ASSOCIATE EXECUTIVE DIRECTOR
- Phone
- (910) 707-0516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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