Organization
COSTAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SUZANNE CHERRYHOLMES (EXECUTIVE DIRECTOR)
(541) 264-0457
Entity
Organization
Contact information
Practice address
1808 NE HIGHWAY 101, LINCOLN CITY, OR 97367
(541) 270-8767
Mailing address
1808 NE HIGHWAY 101, LINCOLN CITY, OR 97367
(541) 418-5118
(877) 388-8131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
07/31/2023
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