Organization
C4C COASTAL BEND INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ANN POWELL (CEO)
(916) 870-9590
Entity
Organization
Contact information
Practice address
302 AVENUE D, VICTORIA, TX 77901-8529
(361) 649-1858
Mailing address
7405 GREENBACK LN # 140, CITRUS HEIGHTS, CA 95621
(916) 870-9590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
09/04/2014
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