COASTAL ADOLESCENT BEHAVIORAL HEALTH
Ambulatory Health at Bowman Rd, Mount Pleasant, SC

License number
South Carolina 31462
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: KATHERINE GRABER LAZAROVICI
Title: PRESIDENT
Phone: (843) 849-9009
Address
Address
1135 Bowman Rd STE 529C, Mount Pleasant, SC 29464
National Provider ID: 1184855876
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COASTAL ADOLESCENT BEHAVIORAL HEALTH, PA

1135 Bowman Rd, Mount Pleasant, SC 29464

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Coastal Adolescent Behavioral Health
Registration:
Jul 16, 2009
Site:
sp.bestflowers.com
Phone:
(843) 849-9009 (Phone)
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
07/01/2011
President, Principals:
Katherine M. Graber Principal, inactive,K. G. Lazarovici President, Principal, inactive
Agent:
Katherine M Graber Lazarovici, M.d
Categories:
Mental Health Clinics

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