| NPI | 1639264112 |
|---|---|
| Former Legal Business Name | COASTAL COUNSELING CENTER PC |
| Entity Type | Organization |
| Authorized Contact | ELISABETH PESCE President 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-03-21 |