Organization Name: | CAROLINA RESIDENTIAL SERVICES, INC |
NPI Number: | 1114060654 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN M KINCAID (DIRECTOR) |
Mailing Address: | 1691 Old Buffalo Ford Rd Asheboro |
State: | NC US |
Postal Code: | 272057893 |
Phone Number: | 3368798587 |
Fax Number: | 3366366403 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 10/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |