| Organization Name: | CAROLINA RESIDENTIAL CARE, INC. |
| NPI Number: | 1588758460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL MCKEITHAN WHITLEY (OWNER & DIRECTOR) |
| Mailing Address: | 1505 W Friendly Ave Greensboro |
| State: | NC US |
| Postal Code: | 274031206 |
| Phone Number: | 3362731782 |
| Fax Number: | 3362733684 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 02/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | MHL-041-057 |
| 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. |