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Organization
PINE WOODS RETREAT, INC.
Active
Organization
PINE WOODS RETREAT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE A. NANGLE (PRESIDENT OF THE BOARD OF TRUSTEES)
(912) 354-7447
Entity
Organization
Contact information
Practice address
1149 CORNELL AVE, SUITE 3-A, SAVANNAH, GA 31406-2700
(912) 354-7447
Mailing address
1149 CORNELL AVE, SUITE 3-A, SAVANNAH, GA 31406-2700
(912) 354-7447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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