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Organization
PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,
Active
Organization
PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRACE BRIGHT (EXECUTIVE DIRECTOR)
(252) 524-4950
Entity
Organization
Contact information
Practice address
6570 FAIRWAY DR, GRIFTON, NC 28530-0009
(252) 524-4950
(252) 524-3870
Mailing address
PO BOX 9, GRIFTON, NC 28530-0009
(252) 524-4950
(252) 524-3870
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-074-003
NC
Other
Enumeration date
10/02/2012
Last updated
11/16/2012
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