Organization
COASTAL SOUTHEASTERN UNITED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY WILLIAMSON (DIRECTOR)
(910) 755-5222
Entity
Organization
Contact information
Practice address
818 S MAIN ST, SUITE 100-104, BLADENBORO, NC 28320
(910) 863-4000
(910) 863-3169
Mailing address
PO BOX 1585, SHALLOTTE, NC 28459-1585
(910) 796-3350
(910) 796-3353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
01/27/2020
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