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Organization

CAROLINA COAST BEHAVIORAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON DOUGHTY (OWNER)
(843) 259-8853
Entity
Organization

Contact information

Practice address
1902 OLD PARSONAGE RD, CHARLESTON, SC 29414-6205
(843) 259-8853
Mailing address
1902 OLD PARSONAGE RD, CHARLESTON, SC 29414-6205

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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