COASTAL RESIDENTIAL SERVICES, INC

NPI: 1780792705 · Organization · Active

Primary Specialty

Community/Behavioral Health Agency
Community/Behavioral Health

Practice Location

445 WESTERN BLVD STE T
JACKSONVILLE, NC 28546-6852 Map ↗
Phone: 910-938-9550
Fax: 910-346-9186

All Specialties & Licenses

  • Community/Behavioral Health Agency Primary (license: MHL-067-091, NC)
  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (license: MHL-067049, NC)

NPI Registration

Enumerated: 2006-08-29

Last CMS Update: 2020-11-18