Coastal Residential Services
Coastal Residential Services is a Community/Behavioral Health Agency in Jacksonville, North Carolina. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
445 Western Blvd Ste TJacksonville, NC 28546-6852
Phone: (910) 938-9550
Fax: (910) 346-9186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1154516169 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Wilson — Vice President · (910) 938-9550 |
| NPI enumerated | September 12, 2007 |
| Last updated in NPPES | November 18, 2020 |
| Certification date | November 18, 2020 |
| Mailing address | Po Box 7128, Jacksonville, NC 28540-2128 |
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