Organization
PINE VALE CHILDREN'S HOME
Active
Other names
PINE VALE INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA BEATY PHD (COUNSELOR)
(662) 286-6555
Entity
Organization
Contact information
Practice address
1872 COUNTY ROAD 700, CORINTH, MS 38834-8734
(662) 286-6555
(662) 287-0283
Mailing address
1872 COUNTY ROAD 700, CORINTH, MS 38834-8734
(662) 286-6555
(662) 287-0283
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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