COASTAL BEND AREA SUPPORT SERVICES LLC NPI 1578849147

NPI Information

COASTAL BEND AREA SUPPORT SERVICES, LLC is a community based residential treatment facility mental illness in Corpus Christi, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COASTAL BEND AREA SUPPORT SERVICES, LLC NPI is 1578849147. The provider is registered as an organization entity type.

The provider's business location address is:

4745 NESBITT DR
CORPUS CHRISTI, TX
ZIP 78415-719
Phone: (361) 510-8219

The provider's authorized official is Maria R Stansell .
The authorized official title is Owner and has the following contact phone number (361) 510-8219.

The CLIA number assigned to this NPI record is 45D1035524 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.

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:

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