Organization
COASTAL HORIZONS CENTER, INC
Active
Parent organization
COASTAL HORIZONS CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL HORIZONS CENTER, INC
Authorized official
MS. MARGARET WELLER-STARGELL (PRESIDENT/CEO)
(910) 343-0145
Entity
Organization
Contact information
Practice address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470
(910) 754-4515
(910) 754-7997
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908303
—
NC
05
—
5911555
—
NC
Enumeration date
02/18/2009
Last updated
07/28/2010
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