| NPI | 1851152557 |
|---|---|
| Other Name | COASTAL COMMUNITY MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID LACOUTURE Member 979-739-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |