Organization
EMMANUEL RESIDENTIAL & BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E HARRIS (PRESIDENT)
(252) 752-6353
Entity
Organization
Contact information
Practice address
113 W FIRETOWER RD STE K, WINTERVILLE, NC 28590-8414
(252) 756-4666
(252) 355-4337
Mailing address
2927 LANDING CIRCLE, GRIMESLAND, NC 27837-9512
(252) 752-6353
(252) 355-4337
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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