Organization
COASTAL MENTAL HEALTH SERVICE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE LYNN DOUGAN (ASSOCIATE EXECUTIVE DIRECTOR)
(910) 707-0516
Entity
Organization
Contact information
Practice address
104 WINNER AVE, SUITE 1, CAROLINA BEACH, NC 28428-4801
(910) 707-0516
(910) 707-0516
Mailing address
104 WINNER AVE, SUITE 1, CAROLINA BEACH, NC 28428-4801
(910) 707-0516
(910) 707-0516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
11/19/2009
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