NPI 1053453258

Coastal Enterprises of Wilmington

Organisation Community/Behavioral Health Agency Wilmington, NC

Practice location

Address: 1214 Kidder St, Wilmington, NC 28401-5918
Phone: (910) 763-3424
Fax: (910) 815-0367

Authorised official

Name: Donald Leon Hoover
Title: Idd Services Coordinator
Phone: (910) 763-3424

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Carolina →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence MHL-065-099 (NC)

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1053453258
Entity type: Organization
NPI issued: 13 Feb 2007
Record last updated: 7 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.