Organization
PINETREE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C HODIAK (EXECUTIVE DIRECTOR)
(910) 692-6008
Entity
Organization
Contact information
Practice address
2251 LINDEN RD, ABERDEEN, NC 28315-5625
(910) 692-6008
Mailing address
1901 N POPLAR ST, SUITE C, ABERDEEN, NC 28315-3354
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-063-079
NC
Other
Enumeration date
07/23/2009
Last updated
08/18/2009
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