| NPI | 1750412912 |
|---|---|
| Doing Business As | COAST COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD OLAIVAR Director 228-363-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |