Organization · Type 2 NPI

Coastal Residential Services, Inc

Community/Behavioral Health Agency · Jacksonville, NC

NPI number 1780792705 Active

Practice location

445 Western Blvd Ste T
Jacksonville, NC 28546-6852

Call (910) 938-9550 Map

Fax (910) 346-9186

Mailing address

PO Box 7128
Jacksonville, NC 28540-2128

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XMHL-067-085 (NC)
Community/Behavioral Health Agency 251S00000XMHL-067-052 (NC)
Community/Behavioral Health Agency 251S00000XMHL-067-049 (NC)
Community/Behavioral Health Agency 251S00000XMHL-067-059 (NC)
Community/Behavioral Health Agency 251S00000XMHL-067-091 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XMHL-067-052 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XMHL-067049 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XMHL-067-059 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XMHL-067-091 (NC)

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 1780792705

Coastal Residential Services, Inc's National Provider Identifier is 1780792705, issued on Aug 29, 2006. 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.