| Coastal Developmental Consulting | |
|
308 Grovediere Lane Hampstead NC 28443-2208 | |
| (910) 431-6418 | |
| (910) 270-0270 |
| Full Name | Coastal Developmental Consulting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 308 Grovediere Lane, Hampstead, North Carolina |
| Authorized Official Name and Position | Briana Kelly (OWNER) |
| Authorized Official Contact | 9102700270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Developmental Consulting 308 Grovediere Lane Hampstead NC 28443-2208 | Coastal Developmental Consulting 308 Grovediere Lane Hampstead NC 28443-2208 Ph: (910) 431-6418 |
| NPI Number | 1740417054 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 06/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740417054 | NPI | - | NPPES |
| 8302571 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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