OrganizationActive
Kingdom Developmental Services
NPI 1306154679 · Mental Health Clinic/Center (Including Community Mental Health Center) · Tarboro, NC
Provider details
- NPI number
- 1306154679
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vera Davis, President/Ceo(252) 641-6400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2109 Saint Andrew St
Suite 12
Tarboro, NC 27886-2149
Phone: (252) 641-6400
Fax: (252) 641-6431
Street-level locationGet directions
Mailing address
2109 Saint Andrew St
Tarboro, NC 27886-2149
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2010-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.