NPI | 1255127262 |
---|---|
Doing Business As | THE PINE CENTER |
Entity Type | Organization |
Authorized Contact | KACI A PENNINGTON Owner, Clinician 765-343-6166 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-04-16 |
Last Update Date | 2025-04-16 |