# P&W GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477762904
- **Authorized official:** JAMES EDWARD WATKINS JR. (FACILITY DIRECTOR)
- **Authorized official phone:** (252) 438-2510

## Contact information

- **Practice address:** 2636 WARRENTON RD, HENDERSON, NC 27537-9355
- **Practice address phone:** (252) 438-2510
- **Practice address fax:** (252) 438-3205
- **Mailing address:** 2636 WARRENTON RD, HENDERSON, NC 27537-9355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-091-075 | NC | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020
