Provider Demographics
NPI:1891303384
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 DIR
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 1:4036 BUSINESS 17 E BLDG 6004036
Mailing Address - Street 2:
Mailing Address - City:BOLIVIA
Mailing Address - State:NC
Mailing Address - Zip Code:28422-8644
Mailing Address - Country:US
Mailing Address - Phone:910-703-8800
Mailing Address - Fax:910-754-7997
Practice Address - Street 1:4036 BUSINESS 17 E BLDG 6004036
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-8644
Practice Address - Country:US
Practice Address - Phone:910-703-8800
Practice Address - Fax:910-754-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health