Pine Village Treatment Services INC
NPI #1013182286 in Clayton, North Carolina
Provider Information
- NPI Number
- 1013182286
- Entity Type
- Organization
- Organization Name
- Pine Village Treatment Services INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 28, 2008
- Last Updated
- Oct 1, 2008
Practice Location
- Address
- 106 S LOMBARD ST
- City
- Clayton
- State
- North Carolina
- ZIP Code
- 27520-2527
- Phone
- (919) 550-7645
Authorized Official
- Name
- MR. CHRIS A DEREPENTIGNY
- Title
- OWNER
- Phone
- (910) 864-7004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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