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Organization

COASTAL HORIZONS CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARET WELLER STARGELL (PRESIDENT & CEO)
(910) 790-0187
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
251S00000X
Community/Behavioral Health Agency
Primary
MHL-065-011
NC
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
MHL-065-011
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5900561
NC
05
6005343
NC
05
8300416
NC
05
8300416B
NC
05
8300416G
NC
05
8300416H
NC
05
8300416Q
NC
05
8300416T
NC
05
8301322
NC
05
8301322B
NC
05
8301322G
NC
05
8301322H
NC
Enumeration date
07/27/2006
Last updated
07/28/2014
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