Organization Name: | EAST COAST FAMILY SERVICES, INC. |
NPI Number: | 1255426086 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EWENDOLYN F. KIRT (PRESIDENT/C.E.O.) |
Mailing Address: | 1109 8th St Ste. 5 Morgan City |
State: | LA US |
Postal Code: | 703801900 |
Phone Number: | 9853841935 |
Fax Number: | 9853848196 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |