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1629328943 NPI number — PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,

NPI Number: 1629328943
Health Care Provider/Practitioner: PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,

Information about “1629328943” NPI (PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,) exists in 1629328943 in HTML format HTML  |  1629328943 in plain Text format TXT  |  1629328943 in PDF (Portable Document Format) PDF  |  1629328943 in an XML format XML  formats.

NPI Number : 1629328943 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629328943",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PITT COUNTY GROUP HOME BOARD FOR MENTALLY RETARDED, AUTISTIC PERSONS,",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 9",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRIFTON",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28530-0009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-524-4950",
    "MailingAddressFaxNumber": "252-524-3870",
    "FirstLinePracticeLocationAddress": "1203 RED BANKS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27858-5302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-524-4950",
    "PracticeLocationAddressFaxNumber": "252-524-3870",
    "EnumerationDate": "09/13/2012",
    "LastUpdateDate": "09/13/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRIGHT",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": "GRACE",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "252-524-4950",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320600000X",
        "TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
        "LicenseNumber": "MHL-074-021",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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