Organization · Type 2 NPI

Pitt County Group Home Board for Mentally Retarded, Autistic Persons,

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grifton, NC

NPI number 1164773065 Active

Practice location

6570 Fairway Dr
Grifton, NC 28530-0009

Fax (252) 524-3870

Mailing address

PO Box 9
Grifton, NC 28530-0009

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-074-003 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Another provider at this address

Other intellectual and/or developmental disabilities residential treatment facility providers in Grifton

See all in Grifton →

About NPI 1164773065

Pitt County Group Home Board for Mentally Retarded, Autistic Persons,'s National Provider Identifier is 1164773065, issued on Oct 2, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Grifton, NC. The record was last updated on Nov 16, 2012.