Whalio Doctors

NPI 1386869337

Coastal Recovery & Wellness, LLC

Organisation Substance Abuse Rehabilitation Facility Myrtle Beach, SC

Practice location

Address
1113 44th Avenue North Suite 100, Myrtle Beach, SC 29577
Phone
(843) 449-6261
Fax
(843) 449-8171

Authorised official

Name
Spencer Josey
Title
Ceo
Phone
(843) 449-6261

Registered specialties (4)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence DHEC OTP-092 (SC)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1386869337
Entity type
Organization
NPI issued
16 Apr 2007
Record last updated
27 Oct 2023

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.