# COASTAL THERAPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578231577
- **Authorized official:** MR. ARTHUR NORMAN KLOSE MA, LCAS (CO-OWNER)
- **Authorized official phone:** (919) 439-9467

## Contact information

- **Practice address:** 9101 COLEWAY DR, HOLLY SPRINGS, NC 27540-4463
- **Practice address phone:** (919) 439-9467
- **Mailing address:** PO BOX 1328, HOLLY SPRINGS, NC 27540-1328
- **Mailing address phone:** (919) 439-9467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/03/2021