Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pentecostal Temple Residential Services, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1902999568

Pentecostal Temple Residential Services, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Greenville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2753 W 5th St
Greenville, NC 27834-7817
Phone: (252) 752-0057
Fax: (252) 830-4094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-115 (NC)

Record details

NPI number1902999568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Sims-Smith — Clinical Director · (252) 752-6951
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 983, Greenville, NC 27835-0983

Other providers in Greenville