Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Forrest Farm Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1902020662

Pine Forrest Farm Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Mocksville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4190 Nc Highway 801 N
Mocksville, NC 27028-6234
Phone: (336) 998-3480
Fax: (336) 998-0177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL030028 (NC)

Record details

NPI number1902020662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emanuel Bonaparte — Executive Director · (828) 615-7030
Other names Pine Forrest Residential Care
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4190 Nc Highway 801 N, Mocksville, NC 27028-6234

Other providers in Mocksville