COASTAL RESIDENTIAL SERVICES, INC
Agencies at Western Blvd, Jacksonville, NC

License number
North Carolina MHL-067-091
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
North Carolina MHL-067-059
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
North Carolina MHL-067049
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
North Carolina MHL-067-052
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
North Carolina MHL-067-085
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MRS. CAROL R WILSON
Title: HRC
Phone: (910) 938-9550
Address
Address
445 Western Blvd SUITE T, Jacksonville, NC 28546
National Provider ID: 1780792705
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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