Organization
COASTAL HORIZONS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET WELLER STARGELL (PRESIDENT & CEO)
(910) 790-0187
Entity
Organization
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 790-0187
(910) 790-0189
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 790-0187
(910) 790-0189
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
MHL-065-011
NC
103TP0016X
Prescribing (Medical) Psychologist
Primary
MHL-065-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900561
—
NC
Enumeration date
04/27/2009
Last updated
07/20/2011
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