| Organization Name: | KINGDOM DEVELOPMENTAL SERVICES |
| NPI Number: | 1306154679 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VERA DAVIS (PRESIDENT/CEO) |
| Mailing Address: | 2109 Saint Andrew St Suite 12 Tarboro |
| State: | NC US |
| Postal Code: | 278862149 |
| Phone Number: | 2526416400 |
| Fax Number: | 2526416431 |
| NPI Enumeration Date: | 09/20/2010 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |