Carolina Residential Services

NPI 1124393962 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1124393962
Enumeration Date 03/13/2012
Last Updated 03/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SUSAN M SUSAN
Position DIRECTOR/OWNER
Phone (910) 920-2891
Fax (910) 920-2756
Practice Location
1014 HAY ST
FAYETTEVILLE NC, 28305-5316, US
Phone (910) 920-2891
Fax (910) 920-2756
Business Location
PO BOX 286
RUTHERFORD COLLEGE NC, 28671-0286, US
Phone (828) 572-2333
Fax (980) 225-0500
Toxanomy
Taxonomy Code 251S00000X
License State North Carolina
License Number MHL-026-837
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According to our database, Carolina Residential Services NPI is 1124393962, taxonomy code is 251S00000X and license number is MHL-026-837, license state is located at North Carolina. Carolina Residential Services physically located at 1014 Hay St, Fayetteville NC, 28305-5316. NPI Number 1033115704 has the healthcare provider type.

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1124393962 NPI number is provided on an as is basis without warranty of any kind. 1124393962 is maintained by the National Plan & Provider Enumeration System. The contents of Carolina Residential Services are for informational purposes only.