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Organization

CAROLINA RESIDENTIAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN M KINCAID (DIRECTOR/OWNER)
(828) 413-3786
Entity
Organization

Contact information

Practice address
204 AVERY AVE, MORGANTON, NC 28655-3103
(828) 438-6284
(828) 438-6276
Mailing address
PO BOX 3486, MORGANTON, NC 28680-3486
(828) 438-6284
(828) 438-6276

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-012-010
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8303427S
NC
Enumeration date
03/12/2012
Last updated
03/12/2012
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