Immanuel Youth Services, Llc. | |
2939 Laurel Ridge Ln Kinston NC 28504-9225 | |
(252) 527-6178 | |
Not Available |
Full Name | Immanuel Youth Services, Llc. |
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Speciality | Community/behavioral Health |
Location | 2939 Laurel Ridge Ln, Kinston, North Carolina |
Authorized Official Name and Position | Renee Miller (VP OF PROGRAM SERVICES) |
Authorized Official Contact | 2525276178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Immanuel Youth Services, Llc. 2939 Laurel Ridge Ln Kinston NC 28504-9225 Ph: (252) 527-6178 | Immanuel Youth Services, Llc. 2939 Laurel Ridge Ln Kinston NC 28504-9225 Ph: (252) 527-6178 |
NPI Number | 1083832141 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083832141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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