Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolina Residential Services, Inc

Organization Community/Behavioral Health Agency · NPI 1588707236

Carolina Residential Services, Inc is a Community/Behavioral Health Agency in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

324 Pine Valley Rd
Jacksonville, NC 28546-7784
Phone: (910) 353-1415
Fax: (910) 353-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence MHL-067-102 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1588707236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kincaid — Director · (828) 572-2333
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 20, 2013
Mailing addressPo Box 286, Rutherford College, NC 28671-0286

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