Organization
COASTLANDS MINISTRIES/PROJECT LAZARUS
Active
Other names
Project Lazarus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WELLS BRASON II (PRESIDENT/CEO)
(336) 667-8100
Entity
Organization
Contact information
Practice address
5368 NC HIGHWAY 16 S, MORAVIAN FALLS, NC 28654-9586
(336) 667-8100
(866) 400-9915
Mailing address
5368 NC HIGHWAY 16 S, MORAVIAN FALLS, NC 28654-9586
(336) 667-8100
(866) 400-9915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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