Organization · NPI-2

Carolina Coast Behavioral Services, LLC

Community/Behavioral Health · Charleston, SC

NPI number1306174305
StatusActive
Last updated in NPPESDec 2, 2009

Details

NPI
1306174305
Entity type
Organization (NPI-2)
Legal business name
Carolina Coast Behavioral Services, LLC
Organization subpart
No
Enumeration date
Dec 2, 2009
Last updated
Dec 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1902 Old Parsonage Rd
Charleston, SC 29414-6205

Phone 843-259-8853

Mailing address

1902 Old Parsonage Rd
Charleston, SC 29414-6205

Authorized official

Shannon Doughty
Owner
8432598853

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