Organization
P&W GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD WATKINS JR. (FACILITY DIRECTOR)
(252) 438-2510
Entity
Organization
Contact information
Practice address
2636 WARRENTON RD, HENDERSON, NC 27537-9355
(252) 438-2510
(252) 438-3205
Mailing address
2636 WARRENTON RD, HENDERSON, NC 27537-9355
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-091-075
NC
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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