Pitt County Group Home Board for Mentally Retarded, Autistic Persons,
NPI #1164773065 in Grifton, North Carolina
Provider Information
- NPI Number
- 1164773065
- Entity Type
- Organization
- Organization Name
- Pitt County Group Home Board for Mentally Retarded, Autistic Persons,
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 2, 2012
- Last Updated
- Nov 16, 2012
Practice Location
- Address
- 6570 FAIRWAY DR
- City
- Grifton
- State
- North Carolina
- ZIP Code
- 28530-0009
- Phone
- (252) 524-4950
Authorized Official
- Name
- MARY GRACE BRIGHT
- Title
- EXECUTIVE DIRECTOR
- Phone
- (252) 524-4950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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