Immanuel Youth Services, Llc.
NPI #1083832141 in Kinston, North Carolina
Provider Information
- NPI Number
- 1083832141
- Entity Type
- Organization
- Organization Name
- Immanuel Youth Services, Llc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2939 LAUREL RIDGE LN
- City
- Kinston
- State
- North Carolina
- ZIP Code
- 28504-9225
- Phone
- (252) 527-6178
Authorized Official
- Name
- MS. RENEE MILLER, RN
- Title
- VP OF PROGRAM SERVICES
- Phone
- (252) 527-6178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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