Pine Forrest Farm INC
NPI #1902020662 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1902020662
- Entity Type
- Organization
- Organization Name
- Pine Forrest Farm INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4190 NC HIGHWAY 801 N
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-6234
- Phone
- (336) 998-3480
Authorized Official
- Name
- MR. EMANUEL EUGENE BONAPARTE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (828) 615-7030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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