Provider Demographics
NPI:1851979041
Name:COASTAL HORIZONS CENTER INC.
Entity Type:Organization
Organization Name:COASTAL HORIZONS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY IMPROVEMENT TRAINING DIRECT
Authorized Official - Prefix:MR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:LINDSAY
Authorized Official - Last Name:JOINES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-399-3755
Mailing Address - Street 1:120 COASTAL HORIZONS DR
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-6094
Mailing Address - Country:US
Mailing Address - Phone:910-754-4515
Mailing Address - Fax:910-754-7997
Practice Address - Street 1:6 DOCTORS CIR STE 1
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-6358
Practice Address - Country:US
Practice Address - Phone:910-754-4233
Practice Address - Fax:910-754-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health