Pine Village Treatment Services
Pine Village Treatment Services is a Community/Behavioral Health Agency in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
Practice location Address checks out
1206 Hope Mills RdFayetteville, NC 28304-4215
Phone: (910) 864-7004
Fax: (910) 864-3002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence MHL-047-096 (NC) |
|---|
Record details
| NPI number | 1962517144 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Derepentigny — Owner · (910) 864-7004 |
| NPI enumerated | August 20, 2006 |
| Last updated in NPPES | October 1, 2008 |
| Mailing address | 1206 Hope Mills Rd, Fayetteville, NC 28304-4215 |
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