Pine Grove Inc.
NPI #1346307899 in Elgin, South Carolina
Provider Information
- NPI Number
- 1346307899
- Entity Type
- Organization
- Organization Name
- Pine Grove Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1500 CHESTNUT ROAD
- City
- Elgin
- State
- South Carolina
- ZIP Code
- 29045-0100
- Phone
- (803) 438-3011
Authorized Official
- Name
- MR. JAMES D. MOEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (803) 438-3011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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