Organization
COASTAL HORIZONS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JAMES LUTTMER (VP CORPORATE COMPLIANCE)
(910) 343-0145
Entity
Organization
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 790-0187
(910) 790-0189
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 790-0187
(910) 790-0189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MHL-065-011
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005343
—
NC
Enumeration date
04/27/2009
Last updated
06/10/2020
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