Provider Demographics
NPI:1750457495
Name:EAST COAST SOLUTIONS
Entity Type:Organization
Organization Name:EAST COAST SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAS, CCS
Authorized Official - Phone:910-251-8930
Mailing Address - Street 1:605 NIXON ST
Mailing Address - Street 2:# 3
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-3052
Mailing Address - Country:US
Mailing Address - Phone:910-251-8930
Mailing Address - Fax:910-251-8933
Practice Address - Street 1:605 NIXON ST
Practice Address - Street 2:#2
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-3052
Practice Address - Country:US
Practice Address - Phone:910-251-8930
Practice Address - Fax:910-251-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 065-042251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300911Medicaid