Professional Group Living, LLC
NPI #1174705875 in Goldsboro, North Carolina
Provider Information
- NPI Number
- 1174705875
- Entity Type
- Organization
- Organization Name
- Professional Group Living, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 122 S CENTER ST
- City
- Goldsboro
- State
- North Carolina
- ZIP Code
- 27530-4829
- Phone
- (919) 688-0818
Authorized Official
- Name
- MS. NATALKA AQUINAIRIA LOCK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (919) 688-0818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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