Organization
COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF G MIKHAIL MD (PRESIDENT/CEO)
(910) 275-0222
Entity
Organization
Contact information
Practice address
117 BEASLEY STREET, KENANSVILLE, NC 28349-0000
(910) 275-0222
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 275-0222
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/03/2010
Last updated
08/31/2011
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