institution
Pentecostal Temple Residential Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Greenville, North Carolina
NPI 1902999568

Pentecostal Temple Residential Services, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Greenville, NC. Pentecostal Temple Residential Services, Inc. practices in Greenville, NC. The NPI Number for Pentecostal Temple Residential Services, Inc. is 1902999568 and holds a License No. MHL-115 (North Carolina).

The current practice location address for Pentecostal Temple Residential Services, Inc. is 2753 W 5Th St, Greenville, NC and can be reached out via phone at 252-752-0057 and via fax at 252-830-4094. You can also correspond with Pentecostal Temple Residential Services, Inc. through the mailing address at PO BOX 983, GREENVILLE, NC - 27835-0983 (mailing address contact number: 252-752-0057).

Location: 2753 W 5Th St, Greenville, NC, 27835-0983
institution
Provider Profile Details
NPI Number
1902999568
Provider Name
Pentecostal Temple Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
2753 W 5Th St, Greenville, NC, 27835-0983
Phone Number
252-752-0057
Fax Number
252-830-4094
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2753 W 5Th St
City
State
Zip
27834-7817
Phone Number
252-752-0057
Fax Number
252-830-4094
person
Provider Business Mailing Address Details
Address
Po Box 983
City
State
Zip
27835-0983
Phone Number
252-752-0057
Fax Number
252-830-4094
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL-115 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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