Organization
PELHAM GARDENS
Active
Other names
Pelham Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY VINCENT (OWNER/CEO)
(336) 210-1446
Entity
Organization
Contact information
Practice address
306 OLD HWY 29, PELHAM, NC 27311
(336) 210-1446
Mailing address
PO BOX 38551, GREENSBORO, NC 27438
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2009
Last updated
11/17/2009
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