# PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,

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

## Provider details

- **NPI number:** 1841315132
- **Authorized official:** MS. MARY GRACE BRIGHT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (252) 524-4950

## Contact information

- **Practice address:** 560 WEST QUEEN ST., GRIFTON, NC 28530-0009
- **Practice address phone:** (252) 524-4950
- **Practice address fax:** (252) 524-3870
- **Mailing address:** PO BOX 9, GRIFTON, NC 28530-0009
- **Mailing address phone:** (252) 524-4950
- **Mailing address fax:** (252) 524-3870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL074003 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL074015 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL074021 | NC | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL074037 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL074097 | NC | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020