| NPI | 1386100360 |
|---|---|
| Doing Business As | AZALEA COAST BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HEATH Office Manager 910-399-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 163W00000X Registered Nurse | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-08-02 |