Organization
COASTAL HORIZONS CENTER, INC
Active
Parent organization
COASTAL HORIZONS CENTER, INC.
Other names
Coastal Horizons Center, Inc CABHA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL HORIZONS CENTER, INC.
Authorized official
MS. MARGARET WELLER-STARGELL (PRESIDENT/CEO)
(910) 343-0145
Entity
Organization
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6005343
NC
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHL-065-011
NC
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
MHL-065-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410030
—
NC
Enumeration date
06/23/2010
Last updated
07/01/2020
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