Pine Village Treatment Services, Inc. in Fayetteville - Clinical
Pine Village Treatment Services, Inc. - NPI 1528232915
Pine Village Treatment Services, Inc. is a Clinical in Fayetteville, North Carolina. Pine Village Treatment Services, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pine Village Treatment Services, Inc. is 1528232915. The last update date is 2008-10-01.
Pine Village Treatment Services, Inc.'s current location address is 1206 Hope Mills Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9108647004 and fax number 9108643002. The mailing address for Pine Village Treatment Services, Inc. is 1206 Hope Mills Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Village Treatment Services, Inc. |
|---|---|
| Address | 1206 Hope Mills Rd, Fayetteville, North Carolina |
| Phone Number | 9108647004 |
| Fax Number | 9108643002 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Derepentigny A Chris |
| Telephone Number | 9108647004 |
NPI Number Detail
| NPI Number | 1528232915 |
|---|---|
| Provider Enumeration Date | 2008-04-16 |
| Last Updated Date | 2008-10-01 |
Provider Mailing Address Detail
| Address | 1206 Hope Mills Rd |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283044215 |
| Phone Number | 9108647004 |
| Fax Number | 9108643002 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6006308 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pine Village Treatment Services, Inc. by the Centers for Medicare & Medicaid Services?
The Pine Village Treatment Services, Inc. has been issued the NPI (National Provider Identifier) 1528232915. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Pine Village Treatment Services, Inc. is physically located?
The Pine Village Treatment Services, Inc. is physically situated at the following address: 1206 Hope Mills Rd, Fayetteville, NC, 283044215.
What is Pine Village Treatment Services, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pine Village Treatment Services, Inc. is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1528232915 assigned to Pine Village Treatment Services, Inc.?
The Pine Village Treatment Services, Inc. was issued its 1528232915 on 2008-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pine Village Treatment Services, Inc.'s details last updated?
The information pertaining to the Pine Village Treatment Services, Inc., including its address, specialty, and other details, was most recently updated on 2008-10-01.
NPI Number: 1275536526
Address: 13619 Inwood Rd, Dallas, TX
NPI Number: 1538161898
Address: Holiday Plaza Iii, Unit 15, Toms River, NJ