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Carolina Residential Services, Inc.
Mental Illness Community Based Residential Treatment Facility in Wallace, North Carolina
NPI 1770705956

Carolina Residential Services, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Rutherford College, NC. Carolina Residential Services, Inc. practices in Wallace, NC. The NPI Number for Carolina Residential Services, Inc. is 1770705956 and holds a License No. MHL 031063 (North Carolina).

The current practice location address for Carolina Residential Services, Inc. is 314 East Westbrook Street, Wallace, NC and can be reached out via phone at 910-285-5319 and via fax at 910-285-5438.

Location: 314 East Westbrook Street, Wallace, NC, 28671-0286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770705956
Provider Name
Carolina Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
314 East Westbrook Street, Wallace, NC, 28671-0286
Phone Number
910-285-5319
Fax Number
910-285-5438
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805778 05 NC
7806594 05 NC
institution
Provider Business Practice Location Address Details
Address
314 East Westbrook Street
City
Wallace
State
North Carolina
Zip
28466-1533
Phone Number
910-285-5319
Fax Number
910-285-5438
person
Provider Business Mailing Address Details
Address
314 East Westbrook Street
City
Wallace
State
North Carolina
Zip
28466-1533
Phone Number
910-285-5319
Fax Number
910-285-5438
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL 031063 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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