Country Pines INC
NPI #1467672535 in La Grange, North Carolina
Provider Information
- NPI Number
- 1467672535
- Entity Type
- Organization
- Organization Name
- Country Pines INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2308 OAKDALE RD
- City
- La Grange
- State
- North Carolina
- ZIP Code
- 28551-8627
- Phone
- (252) 747-4868
Authorized Official
- Name
- MR. KENNETH MICHAEL SAULS SR., BS BUSINESS
- Title
- VICE PRESIDENT
- Phone
- (919) 778-4009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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