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
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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