NPI 1063567188
Cedar Grove Group Homes, INC.
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
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.