Organization
CAROLINA RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK WILSON (DIRECTOR OF OPERATIONS)
(919) 662-7731
Entity
Organization
Contact information
Practice address
314 EAST WESTBROOK STREET, WALLACE, NC 28466-1533
(910) 285-5319
(910) 285-5438
Mailing address
1202 BENSON RD, GARNER, NC 27529-4648
(919) 662-7731
(919) 662-7879
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
09/11/2025
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