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 1206 Hope Mills Rd , Fayetteville NC 28304-4215. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Pine Village Treatment Services, Inc. can be contacted via phone (910) 864-7004, or through Derepentigny, Chris A via phone (910) 864-7004.

Contact Information

Primary practice address
1206 Hope Mills Rd Fayetteville NC 28304-4215
Phone: (910) 864-7004
Fax: (910) 864-3002
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 MHL-047-096 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1528232915
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 16th, 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 1528232915 NPPES
North Carolina MEDICAID 6006308

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