Coastal Haven Home
Coastal Haven Home is a Mental Illness Community Based Residential Treatment Facility in Supply, North Carolina. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
399 Doe Run DrSupply, NC 28462-6349
Phone: (910) 846-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1164647277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wanda Wilson — Administrator · (910) 846-9196 |
| NPI enumerated | April 16, 2007 |
| Last updated in NPPES | June 27, 2008 |
| Mailing address | 1290 Windy Ridge Trl Sw, P.O.Ox 721, Supply, NC 28462-3215 |