Organization
COASTAL HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANA MITCHEM (EXECUTIVE DIRECTOR)
(202) 525-1641
Entity
Organization
Contact information
Practice address
3801 CONNECTICUT AVE NW # 100, WASHINGTON, DC 20008-4530
(202) 525-1641
Mailing address
3801 CONNECTICUT AVE NW # 100, WASHINGTON, DC 20008-4530
(202) 525-1641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/18/2008
Last updated
03/13/2020
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