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NPI Code Detail

MEDICARE: COASTAL HORIZONS CENTER INC.

MEDICARE: COASTAL HORIZONS CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1255869806
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL HORIZONS CENTER INC.
Provider Business Mailing Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number : 910-341-5779
Provider Business Practice Location Address
First Line : 1806 S 15TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-6479
Country : US
Telephone Number : 910-772-2515
Fax Number : 910-202-9966
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MARGARET WELLER STARGELL
Credential :
Telephone Number : 910-343-0145
Provider Enumeration Date : 05/26/2017
Last Update Date : 02/20/2018

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Directions to “COASTAL HORIZONS CENTER INC. ” Practice Location

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