Organization
COASTAL COMMUNITY BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HAIGLER (ADMINISTRATION)
(912) 434-1794
Entity
Organization
Contact information
Practice address
5155 GA HIGHWAY 40 E, SAINT MARYS, GA 31558-9410
(912) 434-1794
(912) 662-8785
Mailing address
5155 GA HIGHWAY 40 E, SAINT MARYS, GA 31558-9410
(912) 434-1794
(912) 662-8785
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
74308
GA
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
08/08/2016
Last updated
01/05/2023
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