| Emanuel's Sons And Dauhgters Of Promise | |
|
13180 Gaston Ave Laurinburg NC 28352-5952 | |
| (910) 318-2176 | |
| Not Available |
| Full Name | Emanuel's Sons And Dauhgters Of Promise |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13180 Gaston Ave, Laurinburg, North Carolina |
| Authorized Official Name and Position | Kenneth Earl Samuda (OWNER) |
| Authorized Official Contact | 9103182176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emanuel's Sons And Dauhgters Of Promise 13180 Gaston Ave Laurinburg NC 28352-5952 Ph: (910) 318-2176 | Emanuel's Sons And Dauhgters Of Promise 13180 Gaston Ave Laurinburg NC 28352-5952 Ph: (910) 318-2176 |
| NPI Number | 1033813621 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033813621 | NPI | - | NPPES |
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