Organization
COASTAL DEVELOPMENTAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA KELLY (OWNER)
(910) 270-0270
Entity
Organization
Contact information
Practice address
308 GROVEDIERE LANE, HAMPSTEAD, NC 28443-2208
(910) 431-6418
(910) 270-0270
Mailing address
308 GROVEDIERE LANE, HAMPSTEAD, NC 28443-2208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302571
—
NC
Enumeration date
06/12/2009
Last updated
06/12/2009
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