Organization
CAROLINA RESIDENTIAL SERVICES, INC
Active
Organization
CAROLINA RESIDENTIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK WILSON (DIRECTOR OF OPERATIONS)
(919) 662-7873
Entity
Organization
Contact information
Practice address
1691 OLD BUFFALO FORD RD, ASHEBORO, NC 27205-7893
(336) 633-4255
(336) 633-4255
Mailing address
1202 BENSON RD, GARNER, NC 27529-4648
(919) 662-7873
(919) 662-7879
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-076-056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804135
—
NC
Enumeration date
02/14/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up