Organization
SEA COAST RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICKA WHITAKER (CEO)
(201) 540-6512
Entity
Organization
Contact information
Practice address
880 MARTIN LUTHER KING JR BLVD, CHAPEL HILL, NC 27514-2600
(984) 364-8693
Mailing address
7302 PLUMLEAF RD APT 1617, RALEIGH, NC 27613-3899
(201) 540-6512
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
07/16/2020
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