Organization
COASTAL BEND AREA SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA R STANSELL (OWNER)
(361) 510-8219
Entity
Organization
Contact information
Practice address
4745 NESBITT DR, CORPUS CHRISTI, TX 78415-1719
(361) 510-8219
Mailing address
4745 NESBITT DR, CORPUS CHRISTI, TX 78415-1719
(361) 510-8219
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
320900000X
TX
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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