Organization
THE PINES RESIDENTIAL TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
825 CRAWFORD PKWY, PORTSMOUTH, VA 23704-2301
(757) 391-6734
Mailing address
825 CRAWFORD PKWY, PORTSMOUTH, VA 23704-2301
(757) 391-6734
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
90914002
VA
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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