Organization
PINETREE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD C. HODIAK (EXECUTIVE DIRECTOR)
(910) 692-6008
Entity
Organization
Contact information
Practice address
1901 N POPLAR ST, SUITE C, ABERDEEN, NC 28315-3311
(910) 692-6008
(910) 693-1239
Mailing address
1901 N POPLAR ST, SUITE C, ABERDEEN, NC 28315-3311
(910) 692-6008
(910) 693-1239
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408834
—
NC
Enumeration date
09/16/2006
Last updated
08/22/2020
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