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1699089516 NPI number — COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA

NPI Number: 1699089516
Health Care Provider/Practitioner: COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA

Information about “1699089516” NPI (COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA) exists in 1699089516 in HTML format HTML  |  1699089516 in plain Text format TXT  |  1699089516 in PDF (Portable Document Format) PDF  |  1699089516 in an XML format XML  formats.

NPI Number : 1699089516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699089516",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COASTAL CAROLINA NEUROPSYCHIATRIC CRISIS SERVICES, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 TARPON TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28546-5287",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-275-0222",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "117 BEASLEY STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KENANSVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28349-0000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-275-0222",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2010",
    "LastUpdateDate": "08/31/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MIKHAIL",
    "AuthorizedOfficialFirstName": "ASHRAF",
    "AuthorizedOfficialMiddleName": "G",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "910-275-0222",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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