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Country Pines Inc
Mental Illness Community Based Residential Treatment Facility in La Grange, North Carolina
NPI 1497968762

Country Pines Inc is a Mental Illness Community Based Residential Treatment Facility based in La Grange, NC. Country Pines Inc practices in La Grange, NC. The NPI Number for Country Pines Inc is 1497968762 and holds a License No. MHL096117 (North Carolina).

The current practice location address for Country Pines Inc is 2307 N Beston Rd, La Grange, NC and can be reached out via phone at 919-778-4009 and via fax at 919-778-4009.

Location: 2307 N Beston Rd, La Grange, NC, 28551-8627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497968762
Provider Name
Country Pines Inc
Credential
Provider Entity Type
Organization
Address
2307 N Beston Rd, La Grange, NC, 28551-8627
Phone Number
919-778-4009
Fax Number
919-778-4009
Provider Enumeration Date
05/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804027 05 NC
3409221 01 NC CAP
8301207 01 NC COMM SUPPORT
institution
Provider Business Practice Location Address Details
Address
2307 N Beston Rd
City
La Grange
State
North Carolina
Zip
28551-8627
Phone Number
919-778-4009
Fax Number
919-778-4009
person
Provider Business Mailing Address Details
Address
2307 N Beston Rd
City
La Grange
State
North Carolina
Zip
28551-8627
Phone Number
919-778-4009
Fax Number
919-778-4009
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL096117 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL096117 (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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