Organization
COASTAL ADOLESCENT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GRABER LAZAROVICI (PRESIDENT)
(843) 849-9009
Entity
Organization
Contact information
Practice address
1135 BOWMAN RD STE 529C, MOUNT PLEASANT, SC 29464-3205
(843) 849-9009
Mailing address
1135 BOWMAN RD STE 529C, MOUNT PLEASANT, SC 29464-3205
(843) 849-9009
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
31462
SC
Other
Enumeration date
07/29/2009
Last updated
07/12/2010
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