| Carolina Residential Services, Inc | |
|
933 W Main Ave Taylorsville NC 28681-2366 | |
| (828) 632-0790 | |
| (828) 635-5850 |
| Full Name | Carolina Residential Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 933 W Main Ave, Taylorsville, North Carolina |
| Authorized Official Name and Position | Susan M Kincaid (DIRECTOR) |
| Authorized Official Contact | 8285722333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Residential Services, Inc 2037 Connelly Springs Rd Lenoir NC 28645-7830 Ph: (828) 572-2333 | Carolina Residential Services, Inc 933 W Main Ave Taylorsville NC 28681-2366 Ph: (828) 632-0790 |
| NPI Number | 1447393277 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447393277 | NPI | - | NPPES |
| 8301037S | Medicaid | NC | |
| 8303432S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-002-008 (North Carolina) | Primary |
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