Provider Demographics
NPI:1649765850
Name:COASTAL HORIZONS CENTER INC
Entity Type:Organization
Organization Name:COASTAL HORIZONS CENTER INC
Other - Org Name:COASTAL HORIZONS CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY IMPROVEMENT TRAINING DIRECT
Authorized Official - Prefix:MR
Authorized Official - First Name:TALMADGE
Authorized Official - Middle Name:LINDSAY
Authorized Official - Last Name:JOINES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-202-5709
Mailing Address - Street 1:615 SHIPYARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6431
Mailing Address - Country:US
Mailing Address - Phone:910-202-5709
Mailing Address - Fax:910-202-9966
Practice Address - Street 1:301 MERCER MILL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-3960
Practice Address - Country:US
Practice Address - Phone:910-862-3380
Practice Address - Fax:844-829-5496
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL HORIZONS CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health