Organization
COASTAL CAROLINA BEHAVIORAL HEALTHCARE, LLC
Active
Other names
Circle of Courage Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LARONDA WOODS-FREEMAN (DIRECTOR)
(910) 392-0477
Entity
Organization
Contact information
Practice address
3806 PARK AVE, SUITE A, WILMINGTON, NC 28403-6738
(910) 392-0477
(910) 392-0447
Mailing address
3806 PARK AVE, SUITE A, WILMINGTON, NC 28403-6738
(910) 392-0477
(910) 392-0447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410191
—
NC
05
—
6604437
—
NC
05
—
8301226
—
NC
05
—
8301226B
—
NC
05
—
8301226H
—
NC
05
—
8301226V
—
NC
Enumeration date
01/09/2007
Last updated
09/06/2013
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