Organization · Type 2 NPI

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

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

NPI number 1629328943 Active

Practice location

1203 Red Banks Rd
Greenville, NC 27858-5302

Call (252) 524-4950 Map

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-074-021 (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.

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About NPI 1629328943

Pitt County Group Home Board for Mentally Retarded, Autistic Persons,'s National Provider Identifier is 1629328943, issued on Sep 13, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greenville, NC. The record was last updated on Sep 13, 2012.