Organization
L &J GROUP HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT GOODMAN (PRESDENT CEO)
(910) 533-2276
Entity
Organization
Contact information
Practice address
309 S PINE ST, WARSAW, NC 28398-2328
(910) 293-0184
(910) 293-0184
Mailing address
463 DUSTY RD, CLINTON, NC 28328-5876
(910) 293-0184
(910) 293-0184
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-031-065
NC
Other
Enumeration date
11/21/2007
Last updated
11/29/2007
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