Provider Demographics
NPI:1194545640
Name:HOPE MISSION OF COASTAL CAROLINA
Entity type:Organization
Organization Name:HOPE MISSION OF COASTAL CAROLINA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SOTIRKYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-240-2359
Mailing Address - Street 1:1209 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4130
Mailing Address - Country:US
Mailing Address - Phone:252-240-2359
Mailing Address - Fax:
Practice Address - Street 1:3900 BRIDGES ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2900
Practice Address - Country:US
Practice Address - Phone:252-222-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility