Organization · Type 2 NPI

Professional Group Living, LLC

Community/Behavioral Health Agency · Goldsboro, NC

NPI number 1356582472 Active

Practice location

122 S Center St
Goldsboro, NC 27530-4829

Call (919) 735-2211 Map

Fax (919) 735-2277

Mailing address

510 Simmons St
Durham, NC 27701-4334

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000X8109498 (NC)
Community/Behavioral Health Agency Primary 251S00000X8109498 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1356582472

Professional Group Living, LLC's National Provider Identifier is 1356582472, issued on Mar 19, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Goldsboro, NC. The record was last updated on Mar 19, 2009.