Organization
COASTAL HORIZONS CENTER, INC
Active
Parent organization
COASTAL HORIZONS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL HORIZONS CENTER
Authorized official
MS. MARGARET WELLER-STARGELL (PRESIDENT/CEO)
(910) 790-0187
Entity
Organization
Contact information
Practice address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470-6094
(910) 754-4515
(910) 754-9997
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YP2500X
Professional Counselor
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007301
—
NC
05
—
6103458
—
NC
05
—
6105230
—
NC
05
—
6112088
—
NC
Enumeration date
02/18/2009
Last updated
09/21/2010
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