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1598345514
COASTAL BEHAVIORAL SERVICES, LLC
TAMPA, FL
NPI
1598345514
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Entity Type
Organization
Authorized Contact
CRYSTAL LAGOR
Owner
813-401-2539
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-04-13
Last Update Date
2021-04-16
Business Address
COASTAL BEHAVIORAL SERVICES, LLC
10135 MONTAGUE ST
TAMPA, FL 33626-1857
Phone number: 813-401-2539
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Mailing Address
COASTAL BEHAVIORAL SERVICES, LLC
10135 MONTAGUE ST
TAMPA, FL 33626-1857
Phone number: 813-401-2539
Copy
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