Pine Village Treatment Services Inc

LBN: Pine Village Treatment Services Inc
Pine Village Treatment Services Inc is an health care organization with primary practice located at 106 S Lombard St , Clayton NC 27520-2527. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Pine Village Treatment Services Inc can be contacted via phone (919) 550-7645, or through Derepentigny, Chris A via phone (910) 864-7004.

Contact Information

Primary practice address
106 S Lombard St Clayton NC 27520-2527
Phone: (919) 550-7645
Fax: (919) 550-7754
Website:
Map and Directions
Authorized official contact:
Name: Derepentigny, Chris A
Phone: (910) 864-7004

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013182286
LBN Legal business name Pine Village Treatment Services Inc
DBA Doing business as
Authorized official Derepentigny, Chris A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Oct 1st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013182286 NPPES
North Carolina MEDICAID 6006309

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