OrganizationActive
Carolina Residential Services, Inc
NPI 1316080039 · Mental Illness Community Based Residential Treatment Facility · Asheboro, NC
Provider details
- NPI number
- 1316080039
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Derek Wilson, Director of Operations(919) 662-7873
- License
- MHL-076-056 (NC)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MHL-076-056 (NC)
Residential Treatment Facilities
Practice location
1691 Old Buffalo Ford Rd
Asheboro, NC 27205-7893
Phone: (336) 633-4255
Fax: (336) 633-4255
Approximate (ZIP-level) locationGet directions
Mailing address
1202 Benson Rd
Garner, NC 27529-4648
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.