Organization
DOWTIN'S THERAPEUTIC HOME
Active
Other names
ED Emmanuel Homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHABRITTANY ARVON DOWTIN (MANAGER)
(919) 231-2981
Entity
Organization
Contact information
Practice address
3912 WILLOW OAK RD, RALEIGH, NC 27604-4725
(919) 349-5540
Mailing address
PO BOX 26153, RALEIGH, NC 27611-6153
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
092369
NC
Other
Enumeration date
10/03/2013
Last updated
02/07/2014
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