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Organization
EMANUEL'S SONS AND DAUGHTERS OF PROMISE
Active
Organization
EMANUEL'S SONS AND DAUGHTERS OF PROMISE
Active
Other names
Emanuel's sons and dauhgters of promise
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH EARL SAMUDA (OWNER)
(910) 318-2176
Entity
Organization
Contact information
Practice address
13180 GASTON AVE, LAURINBURG, NC 28352-5952
(910) 318-2176
Mailing address
13180 GASTON AVE, LAURINBURG, NC 28352-5952
(910) 318-2176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/29/2023
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