1780792705 COASTAL RESIDENTIAL SERVICES, INC

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
COASTAL RESIDENTIAL SERVICES, INC
Enumeration Date
August 29, 2006
Last Update
November 18, 2020
Authorized Official
CAROL WILSON
VICE PRESIDENT
Phone: (910) 938-9550

Practice Location

Address
445 WESTERN BLVD STE T
JACKSONVILLE, NC 285466852
Phone
(910) 938-9550
Fax
(910) 346-9186

Mailing Address

Address
PO BOX 7128
JACKSONVILLE, NC 285402128
Phone
(910) 938-9550
Fax
(910) 346-9186

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities MHL-067-091 NC No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health MHL-067-052 NC No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health MHL-067-049 NC No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health MHL-067-059 NC No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health MHL-067-091 NC No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities MHL-067-052 NC No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities MHL-067049 NC No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities MHL-067-059 NC No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health MHL-067-085 NC Primary

Other Identifiers

Identifier Type State Issuer
3419231 05 NC N/A
3408942 05 NC N/A

Frequently Asked Questions

What is COASTAL RESIDENTIAL SERVICES, INC's NPI number?
COASTAL RESIDENTIAL SERVICES, INC's NPI number is 1780792705.
Which doctor has NPI number 1780792705?
The doctor with NPI number 1780792705 is COASTAL RESIDENTIAL SERVICES, INC.
What is COASTAL RESIDENTIAL SERVICES, INC's practice address?
COASTAL RESIDENTIAL SERVICES, INC's practice address is 445 WESTERN BLVD STE T, JACKSONVILLE, NC, 285466852.
Which doctor practices at 445 WESTERN BLVD STE T, JACKSONVILLE, NC, 285466852?
COASTAL RESIDENTIAL SERVICES, INC practices at 445 WESTERN BLVD STE T, JACKSONVILLE, NC, 285466852.
What is COASTAL RESIDENTIAL SERVICES, INC's mailing address?
COASTAL RESIDENTIAL SERVICES, INC's mailing address is PO BOX 7128, JACKSONVILLE, NC, 285402128.
What is COASTAL RESIDENTIAL SERVICES, INC's phone number?
COASTAL RESIDENTIAL SERVICES, INC's phone number is (910) 938-9550.
Who is (910) 938-9550?
(910) 938-9550 is the phone number for COASTAL RESIDENTIAL SERVICES, INC.
What is COASTAL RESIDENTIAL SERVICES, INC's specialty?
COASTAL RESIDENTIAL SERVICES, INC's specialty is Community/Behavioral Health Agency.
What type of doctor is COASTAL RESIDENTIAL SERVICES, INC?
COASTAL RESIDENTIAL SERVICES, INC is a Community/Behavioral Health Agency.
Is COASTAL RESIDENTIAL SERVICES, INC a Community/Behavioral Health?
Yes, COASTAL RESIDENTIAL SERVICES, INC is a Community/Behavioral Health.
Is COASTAL RESIDENTIAL SERVICES, INC still practicing?
Yes, COASTAL RESIDENTIAL SERVICES, INC is currently practicing.
Is COASTAL RESIDENTIAL SERVICES, INC accepting new patients?
COASTAL RESIDENTIAL SERVICES, INC may be accepting new patients. Please call their office at (910) 938-9550 to inquire about availability.
Is NPI 1780792705 still active?
Yes, NPI 1780792705 is currently active.
Where does COASTAL RESIDENTIAL SERVICES, INC practice?
COASTAL RESIDENTIAL SERVICES, INC practices in JACKSONVILLE, NC.