# DOWTIN'S THERAPEUTIC HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ED Emmanuel Homes LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659708790
- **Authorized official:** SHABRITTANY ARVON DOWTIN (MANAGER)
- **Authorized official phone:** (919) 231-2981

## Contact information

- **Practice address:** 3912 WILLOW OAK RD, RALEIGH, NC 27604-4725
- **Practice address phone:** (919) 349-5540
- **Mailing address:** PO BOX 26153, RALEIGH, NC 27611-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 092369 | NC | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 02/07/2014