COASTAL ADDICTION RECOVERY LLC NPI 1083184576

NPI Information

NPI: 1083184576
Provider Name: COASTAL ADDICTION RECOVERY LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 718-3168
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COASTAL ADDICTION RECOVERY LLC is an adult mental health clinic center in North Charleston, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. COASTAL ADDICTION RECOVERY LLC NPI is 1083184576. The provider is registered as an organization entity type.

The provider's business location address is:

2179 ASHLEY PHOSPHATE RD STE B
NORTH CHARLESTON, SC
ZIP 29406-180
Phone: (843) 718-3168

The provider's authorized official is Jodie Moore .
The authorized official title is Director Of Operations and has the following contact phone number (843) 718-3168.

The enumeration date for this NPI number is 11/28/2018 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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