COASTLINE MENTAL HEALTH LLC

NICEVILLE, FL
NPI1811729015
Entity TypeOrganization
Authorized ContactBRIAN WADE PULLAM
Owner
850-368-4670
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-08-15
Last Update Date2024-08-15
Business Address
COASTLINE MENTAL HEALTH LLC
1723 PINE AVE
NICEVILLE, FL 32578-4600
Phone number: 850-368-4670
Mailing Address
COASTLINE MENTAL HEALTH LLC
1723 PINE AVE
NICEVILLE, FL 32578-4600
Phone number: 850-368-4670
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