| NPI | 1982451407 |
|---|---|
| Former Legal Business Name | COASTAL THERAPEUTIC EFFECT |
| Entity Type | Organization |
| Authorized Contact | WENDY SUE COBERNUS-NEWELL Owner 912-596-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |