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Organization

PINEBROOK RESIDENTIAL CENTER 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED H. LEONARD MS, LPC, NC LIC. ADM (PRESIDENT)
(336) 679-8671
Entity
Organization

Contact information

Practice address
244 HARRISON AVE, YADKINVILLE, NC 27055-8246
(336) 679-8671
(336) 679-7500
Mailing address
PO BOX 760, YADKINVILLE, NC 27055-0760
(336) 679-8671
(336) 679-7500

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-099-010
NC

Other

Enumeration date
02/22/2007
Last updated
08/22/2020
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