Pinecrest Developmental Center

NPI #1215172549 in Leesville, Louisiana

Provider Information

NPI Number: 1215172549
Entity Type: Organization
Organization Name: Pinecrest Developmental Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 16, 2008
Last Updated: Mar 25, 2009

Practice Location

Address: 107 ANGELINA DRIVE
City: Leesville
State: Louisiana
ZIP Code: 71446
Phone: (337) 239-2687

Authorized Official

Name: MR. RONALD WILLIAMS
Title: ADMINISTRATOR
Phone: (337) 239-2687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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