Organization
COASTAL THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUMEKA S DUDLEY (CEO)
(252) 948-0701
Entity
Organization
Contact information
Practice address
3005 A SOUTH MEMORIAL DR, GREENVILLE, NC 27834-6224
(252) 439-0701
(252) 439-0576
Mailing address
3005A SOUTH MEMORIAL DRIVE, GREENVILLE, NC 27834-6224
(252) 439-0701
(252) 439-0576
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/10/2008
Last updated
07/09/2010
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