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Country Pines Inc
Mental Illness Community Based Residential Treatment Facility in La Grange, North Carolina
NPI 1467672535

Country Pines Inc is a Mental Illness Community Based Residential Treatment Facility based in Lagrange, NC. Country Pines Inc practices in La Grange, NC. The NPI Number for Country Pines Inc is 1467672535 and holds a License No. MHL040014 (North Carolina).

The current practice location address for Country Pines Inc is 2308 Oakdale Rd, La Grange, NC and can be reached out via phone at 252-747-4868.

Location: 2308 Oakdale Rd, La Grange, NC, 28551-8627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467672535
Provider Name
Country Pines Inc
Credential
Provider Entity Type
Organization
Address
2308 Oakdale Rd, La Grange, NC, 28551-8627
Phone Number
252-747-4868
Fax Number
Provider Enumeration Date
04/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804005 05 NC
institution
Provider Business Practice Location Address Details
Address
2308 Oakdale Rd
City
La Grange
State
North Carolina
Zip
28551-8627
Phone Number
252-747-4868
Fax Number
person
Provider Business Mailing Address Details
Address
2308 Oakdale Rd
City
La Grange
State
North Carolina
Zip
28551-8627
Phone Number
252-747-4868
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL040014 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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