Country Pines INC
NPI #1497968762 in La Grange, North Carolina
Provider Information
- NPI Number
- 1497968762
- Entity Type
- Organization
- Organization Name
- Country Pines INC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 7, 2007
- Last Updated
- Sep 4, 2007
Practice Location
- Address
- 2307 N BESTON RD
- City
- La Grange
- State
- North Carolina
- ZIP Code
- 28551-8627
- Phone
- (919) 778-4009
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 |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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