Organization Name: | COASTAL HORIZONS CENTER, INC. |
NPI Number: | 1003050634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET WELLER STARGELL (PRESIDENT & CEO) |
Mailing Address: | 615 Shipyard Blvd Wilmington |
State: | NC US |
Postal Code: | 284126431 |
Phone Number: | 9107900187 |
Fax Number: | 9107900189 |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 07/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | MHL-065-011 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |