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

Pine Grove Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1346307899

Pine Grove Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Elgin, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
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

1500 Chestnut Rd
Elgin, SC 29045-0100
Phone: (803) 438-3011
Fax: (803) 438-8611
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 SR0008132001CCI (SC)

Record details

NPI number1346307899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Moen — Executive Director · (803) 438-3011
NPI enumeratedJanuary 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 100, Elgin, SC 29045-0100