Pickett Grove Supervised Living
Pickett Grove Supervised Living is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
3809 Pickett RdDurham, NC 27705-5331
Phone: (919) 403-9644
Fax: (919) 489-8489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL 032244 (NC) |
|---|
Record details
| NPI number | 1669689766 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cedrika Holliday — Program Director · (919) 403-9644 |
| NPI enumerated | May 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3809 Pickett Rd, Durham, NC 27705-5331 |
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