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1184095762
COASTAL BEHAVIORAL HEALTH LLC
WILTON MANORS, FL
NPI
1184095762
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Entity Type
Organization
Authorized Contact
TONI RICHARDI
Owner
954-271-3397
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY 9346)
Enumeration Date
2015-10-08
Last Update Date
2018-09-10
Business Address
COASTAL BEHAVIORAL HEALTH LLC
1650 NE 26TH ST STE 201
WILTON MANORS, FL 33305-1431
Phone number: 954-271-3397
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Mailing Address
COASTAL BEHAVIORAL HEALTH LLC
1650 NE 26TH ST STE 201
WILTON MANORS, FL 33305-1431
Phone number: 954-271-3397
Copy
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