Organization
COASTAL MENTAL HEALTH SERVICE PROVIDERS
Active
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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