Organization · Type 2 NPI

Coastal Residential Services

Community/Behavioral Health Agency · Jacksonville, NC

NPI number 1154516169 Active

Practice location

445 Western Blvd Ste T
Jacksonville, NC 28546-6852

Fax (910) 346-9186

Mailing address

PO Box 7128
Jacksonville, NC 28540-2128

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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About NPI 1154516169

Coastal Residential Services's National Provider Identifier is 1154516169, issued on Sep 12, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Jacksonville, NC. The record was last updated on Nov 18, 2020.