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1013182286
PINE VILLAGE TREATMENT SERVICES INC
CLAYTON, NC
NPI
1013182286
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Entity Type
Organization
Authorized Contact
CHRIS A DEREPENTIGNY
Owner
910-864-7004
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-28
Last Update Date
2008-10-01
Business Address
PINE VILLAGE TREATMENT SERVICES INC
106 S LOMBARD ST
CLAYTON, NC 27520-2527
Phone number: 919-550-7645
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Mailing Address
PINE VILLAGE TREATMENT SERVICES INC
106 S LOMBARD ST
CLAYTON, NC 27520-2527
Phone number: 919-550-7645
Copy
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