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Pitt County Group Home Board For Mentally Retarded, Autistic Persons,
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Grifton, North Carolina
NPI 1164773065

Pitt County Group Home Board For Mentally Retarded, Autistic Persons, is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Grifton, NC. Pitt County Group Home Board For Mentally Retarded, Autistic Persons, practices in Grifton, NC. The NPI Number for Pitt County Group Home Board For Mentally Retarded, Autistic Persons, is 1164773065 and holds a License No. MHL-074-003 (North Carolina).

The current practice location address for Pitt County Group Home Board For Mentally Retarded, Autistic Persons, is 6570 Fairway Dr, Grifton, NC and can be reached out via phone at 252-524-4950 and via fax at 252-524-3870.

Location: 6570 Fairway Dr, Grifton, NC, 28530-0009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164773065
Provider Name
Pitt County Group Home Board For Mentally Retarded, Autistic Persons,
Credential
Provider Entity Type
Organization
Address
6570 Fairway Dr, Grifton, NC, 28530-0009
Phone Number
252-524-4950
Fax Number
252-524-3870
Provider Enumeration Date
10/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406304 05 NC
institution
Provider Business Practice Location Address Details
Address
6570 Fairway Dr
City
Grifton
State
North Carolina
Zip
28530-0009
Phone Number
252-524-4950
Fax Number
252-524-3870
person
Provider Business Mailing Address Details
Address
6570 Fairway Dr
City
Grifton
State
North Carolina
Zip
28530-0009
Phone Number
252-524-4950
Fax Number
252-524-3870
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-074-003 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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