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

Carolina Residential Services, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1770705956

Carolina Residential Services, Inc is a Mental Illness Community Based Residential Treatment Facility in Wallace, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

314 E Westbrook St
Wallace, NC 28466-1533
Phone: (910) 285-5319
Fax: (910) 285-5438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL 031063 (NC)

Record details

NPI number1770705956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kincaid — Director · (828) 572-2333
NPI enumeratedMay 3, 2007
Last updated in NPPESJune 12, 2013
Mailing addressPo Box 286, Rutherford College, NC 28671-0286

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