Pinebrook Residential Center 1

NPI #1184769317 in Yadkinville, North Carolina

Provider Information

NPI Number
1184769317
Entity Type
Organization
Organization Name
Pinebrook Residential Center 1
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Feb 21, 2007
Last Updated
May 6, 2016

Practice Location

Address
312 HARRISON AVE
ZIP Code
27055-8247
Phone
(828) 655-3222

Authorized Official

Name
MR. FRED H. LEONARD, MS, LPC, NC LIC. ADM
Title
PRESIDENT
Phone
(828) 655-3222

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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