Pine Vale INC
NPI #1225324510 in Corinth, Mississippi
Provider Information
- NPI Number
- 1225324510
- Entity Type
- Organization
- Organization Name
- Pine Vale INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jun 24, 2011
- Last Updated
- Jun 24, 2011
Practice Location
- Address
- 1872 COUNTY ROAD 700
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-8734
- Phone
- (662) 286-6555
Authorized Official
- Name
- MR. THOMAS BARAGONA
- Title
- DIRECTOR
- Phone
- (662) 286-6555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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