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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COASTAL RESIDENTIAL SERVICES, INC

Active Organization

COASTAL RESIDENTIAL SERVICES, INC is a Community/Behavioral Health organization located in JACKSONVILLE, North Carolina. NPI 1780792705 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · JACKSONVILLE, NC

Registration Details

NPI Number
1780792705
Provider Type
Organization
NPI Issued
Aug 29, 2006 (19.774895777432 yrs)
Last Updated
Nov 18, 2020
Licenses
MHL-067-091 (NC)
MHL-067-052 (NC)
MHL-067-049 (NC)
MHL-067-059 (NC)
MHL-067-091 (NC)

Practice Information

Address
445 WESTERN BLVD STE T
JACKSONVILLE, NC, 285466852
Browse NC providers · Browse ZIP 28546
Phone
9109389550
Fax
9103469186
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Community/Behavioral Health
Additional Specialty
Community/Behavioral Health
Additional Specialty
Community/Behavioral Health
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.