Organization · Type 2 NPI

Pentecostal Temple Residential Services, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Greenville, NC

NPI number 1902999568 Active

Practice location

2753 W 5th St
Greenville, NC 27834-7817

Call (252) 752-0057 Map

Fax (252) 830-4094

Mailing address

PO Box 983
Greenville, NC 27835-0983

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL-115 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: 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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About NPI 1902999568

Pentecostal Temple Residential Services, Inc.'s National Provider Identifier is 1902999568, issued on Oct 2, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Greenville, NC. The record was last updated on Aug 22, 2020.