| NPI | 1962191270 |
|---|---|
| Doing Business As | COASTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NEELEY RENEE HUGHEY Owner 321-757-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |