Organization
CCDP INC.
Active
Other names
Coastal Children's Developmental Program Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA B DAVIS (ASSISTANT DIRECTOR)
(252) 638-9046
Entity
Organization
Contact information
Practice address
2961 HWY 58 SOUTH, POLLOCKSVILLE, NC 28573-8755
(252) 224-0320
(252) 224-0320
Mailing address
1900 US HIGHWAY 70 E STE C, NEW BERN, NC 28560-6818
(252) 638-9046
(252) 638-9026
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL052-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603132
—
NC
Enumeration date
01/19/2007
Last updated
06/16/2008
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