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Organization
PROFESSIONAL GROUP LIVING, LLC
Active
Organization
PROFESSIONAL GROUP LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALKA AQUINAIRIA LOCK (EXECUTIVE DIRECTOR)
(919) 688-0818
Entity
Organization
Contact information
Practice address
122 S CENTER ST, GOLDSBORO, NC 27530-4829
(919) 688-0818
Mailing address
122 S CENTER ST, GOLDSBORO, NC 27530-4829
(919) 688-0818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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