Organization
COASTAL CAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAQUICIA CARR LCSWA (TEAM LEAD)
(910) 620-8301
Entity
Organization
Contact information
Practice address
609 SHIPYARD BLVD, UNIT 102, WILMINGTON, NC 28412-6562
(910) 620-8301
Mailing address
1003 ST. ANDREWS DRIVE, APT. #103, WILMINGTON, NC 28412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P008674
NC
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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