Organization · Type 2 NPI

Carolina Residential Services, Inc

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

NPI number 1700929445 Active

Practice location

910 Spring St
Mount Airy, NC 27030-5512

Fax (336) 786-8032

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-086-037 (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 1700929445

Carolina Residential Services, Inc's National Provider Identifier is 1700929445, issued on Feb 14, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mount Airy, NC. The record was last updated on Jul 20, 2013.