OrganizationActive
Carolina Residential Services, Inc.
NPI 1811304256 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Boonville, NC
Provider details
- NPI number
- 1811304256
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Susan Kincaid, Director(828) 413-3786
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
160 River Rd
Boonville, NC 27011-8338
Phone: (336) 551-4045
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 286
Rutherford College, NC 28671-0286
Registry dates
- Enumerated
- 2014-07-17
- Last updated
- 2014-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.