Organization
CAROLINA COMPREHENSIVE PSYCHIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ACOSTA MD (OWNER)
(252) 439-1011
Entity
Organization
Contact information
Practice address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 439-1011
(252) 940-0030
Mailing address
1877 ALTONS TRL, GREENVILLE, NC 27834-4746
(252) 439-1011
(252) 940-0030
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017X0
BCBS GROUP
NC
01
—
1144251828
GROUP NPI
NC
05
—
6005908
—
NC
Enumeration date
07/05/2006
Last updated
03/08/2016
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