| NPI | 1033107289 |
|---|---|
| Former Legal Business Name | COASTAL FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE S GREER CEO 228-374-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-08-16 |