Whalio Doctors

NPI 1063567188

Cedar Grove Group Homes, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Goldsboro, NC

Practice location

Address
140 Country Run Ln, Goldsboro, NC 27530-8901
Phone
(919) 738-1765
Fax
(919) 751-0089
Mailing address
PO Box 1343, Goldsboro, NC 27533-1343

Authorised official

Name
Wanda Williams Jones
Title
Director
Phone
(919) 738-1765

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 8300945 (NC)

Registry record

NPI
1063567188
Entity type
Organization
NPI issued
25 Jan 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.