Organization
COASTAL COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BROWN (MEMBER)
(252) 571-7446
Entity
Organization
Contact information
Practice address
138 TURQUOISE DR, JACKSONVILLE, NC 28546-8757
(252) 571-7446
Mailing address
138 TURQUOISE DR, JACKSONVILLE, NC 28546-8757
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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