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Pine Forrest Farm Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Mocksville, North Carolina
NPI 1902020662

Pine Forrest Farm Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Mocksville, NC. Pine Forrest Farm Inc practices in Mocksville, NC. The NPI Number for Pine Forrest Farm Inc is 1902020662 and holds a License No. MHL030028 (North Carolina).

The current practice location address for Pine Forrest Farm Inc is 4190 Nc Highway 801 N, Mocksville, NC and can be reached out via phone at 336-998-3480 and via fax at 336-998-0177.

Location: 4190 Nc Highway 801 N, Mocksville, NC, 27028-6234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902020662
Provider Name
Pine Forrest Farm Inc
Credential
Provider Entity Type
Organization
Address
4190 Nc Highway 801 N, Mocksville, NC, 27028-6234
Phone Number
336-998-3480
Fax Number
336-998-0177
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4190 Nc Highway 801 N
City
Mocksville
State
North Carolina
Zip
27028-6234
Phone Number
336-998-3480
Fax Number
336-998-0177
person
Provider Business Mailing Address Details
Address
4190 Nc Highway 801 N
City
Mocksville
State
North Carolina
Zip
27028-6234
Phone Number
336-998-3480
Fax Number
336-998-0177
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL030028 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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