Organization
COASTAL RECOVERY & WELLNESS, LLC
Active
Other names
Coastal Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER JOSEY (CEO)
(843) 449-6261
Entity
Organization
Contact information
Practice address
1113 44TH AVENUE NORTH, SUITE 100, MYRTLE BEACH, SC 29577
(843) 449-6261
(843) 449-8171
Mailing address
1113 44TH AVENUE NORTH, SUITE 100, MYRTLE BEACH, SC 29577
(843) 449-6261
(843) 449-8171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
DHEC OTP-092
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
10/27/2023
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