# CCDP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Children's Developmental Program Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316090509
- **Authorized official:** MRS. DONNA B DAVIS (ASSISTANT DIRECTOR)
- **Authorized official phone:** (252) 638-9046

## Contact information

- **Practice address:** 2961 HWY 58 SOUTH, POLLOCKSVILLE, NC 28573-8755
- **Practice address phone:** (252) 224-0320
- **Practice address fax:** (252) 224-0320
- **Mailing address:** 1900 US HIGHWAY 70 E STE C, NEW BERN, NC 28560-6818
- **Mailing address phone:** (252) 638-9046
- **Mailing address fax:** (252) 638-9026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL052-011 | NC | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603132 | — | NC |