Coastal Residential Services
NPI #1154516169 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1154516169
- Entity Type
- Organization
- Organization Name
- Coastal Residential Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Nov 18, 2020
Practice Location
- Address
- 445 WESTERN BLVD STE T
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-6852
- Phone
- (910) 938-9550
Authorized Official
- Name
- CAROL WILSON
- Title
- VICE PRESIDENT
- Phone
- (910) 938-9550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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