Pinebrook Residential Center 2

NPI #1740315837 in Yadkinville, North Carolina

Provider Information

NPI Number
1740315837
Entity Type
Organization
Organization Name
Pinebrook Residential Center 2
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Feb 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
244 HARRISON AVE
ZIP Code
27055-8246
Phone
(336) 679-8671

Authorized Official

Name
MR. FRED H. LEONARD, MS, LPC, NC LIC. ADM
Title
PRESIDENT
Phone
(336) 679-8671

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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