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COASTAL RESIDENTIAL SERVICES, INC

Organization (NPI-2) Active

Community/Behavioral Health

Provider Information

NPI Number
1780792705
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
445 WESTERN BLVD STE T, JACKSONVILLE, NC, 285466852
Phone
(910) 938-9550
Fax
(910) 346-9186

Specialties & Taxonomies

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities License: NC #mhl-067-091
Community/Behavioral Health License: NC #MHL-067-052
Community/Behavioral Health License: NC #MHL-067-049
Community/Behavioral Health License: NC #MHL-067-059
Community/Behavioral Health License: NC #MHL-067-091
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities License: NC #mhl-067-052
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities License: NC #mhl-067049
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities License: NC #mhl-067-059
Community/Behavioral Health Primary License: NC #MHL-067-085

All Addresses

LOCATION

445 WESTERN BLVD STE T

JACKSONVILLE, NC, 285466852

(910) 938-9550

MAILING

PO BOX 7128

JACKSONVILLE, NC, 285402128

(910) 938-9550