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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