Organization
SILVER PINES PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WESTON CRAWFORD (PRESIDENT)
(404) 985-2812
Entity
Organization
Contact information
Practice address
3430 MOUNTAIN RD, STOWE, VT 05672-4800
(802) 578-6102
Mailing address
3430 MOUNTAIN RD, STOWE, VT 05672-4800
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS, MVP, CIGNA PENDING
—
Enumeration date
08/04/2020
Last updated
03/28/2024
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