| NPI | 1386869337 |
|---|---|
| Doing Business As | COASTAL RECOVERY |
| Entity Type | Organization |
| Authorized Contact | SPENCER JOSEY CEO 843-449-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC DHEC OTP-092) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-10-27 |