| NPI | 1053072470 |
|---|---|
| Doing Business As | PINE GROVE |
| Entity Type | Organization |
| Authorized Contact | DORIS SINGLETON Executive Director 803-438-3011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |