Organization
COASTAL BEND WELLNESS FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL JERON HOELSCHER (CEO)
(361) 814-2001
Entity
Organization
Contact information
Practice address
2882 HOLLY RD., CORPUS CHRISTI, TX 78415
(361) 814-2001
(361) 883-1998
Mailing address
5633 S STAPLES ST STE 700, CORPUS CHRISTI, TX 78411-4679
(361) 814-2001
(361) 883-1998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291803903
—
TX
Enumeration date
12/06/2010
Last updated
06/12/2024
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