Organization · Type 2 NPI

Carolina Residential Services, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Boonville, NC

NPI number 1427180975 Active

Practice location

130 Williams St
Boonville, NC 27011-9300

Fax (336) 367-9039

Mailing address

PO Box 286
Rutherford College, NC 28671-0286

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL 099015 (NC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1427180975

Carolina Residential Services, Inc.'s National Provider Identifier is 1427180975, issued on Mar 11, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Boonville, NC. The record was last updated on Jul 20, 2013.