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 Agencies / Community/Behavioral 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 Garrett, James D via phone (910) 354-4794.

Contact Information

Primary practice address
106 S Lombard St Clayton NC 27520-2527
Phone: (919) 550-7645
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garrett, James D
Phone: (910) 354-4794

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1760657282
LBN Legal business name Pine Village Treatment Services, Inc.
DBA Doing business as
Authorized official Garrett, James D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 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 1760657282 NPPES
North Carolina MEDICAID 8302128

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