| NPI | 1780449132 |
|---|---|
| Doing Business As | COASTAL THERAPY & FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | RANDY KIRKSEY Owner 228-990-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-06-11 |