| NPI | 1033813621 |
|---|---|
| Other Name | EMANUEL'S SONS AND DAUHGTERS OF PROMISE |
| Entity Type | Organization |
| Authorized Contact | KENNETH EARL SAMUDA Owner 910-318-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-29 |