COASTAL RESIDENTIAL SERVICES, INC is a community behavioral health in Jacksonville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COASTAL RESIDENTIAL SERVICES, INC NPI is 1780792705. The provider is registered as an organization entity type.
The provider's business location address is:
445 WESTERN BLVD STE T
JACKSONVILLE, NC
ZIP 28546-852
Phone: (910) 938-9550
Fax: (910) 346-9186
The provider's authorized official is Carol Wilson .
The authorized official title is Vice President and has the following contact phone number (910) 938-9550.
The CLIA number assigned to this NPI record is 34D2115326 - other - group home with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/29/2006 and was last updated on 11/18/2020.