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1962517144
PINE VILLAGE TREATMENT SERVICES
FAYETTEVILLE, NC
NPI
1962517144
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Entity Type
Organization
Authorized Contact
CHRIS A DEREPENTIGNY
Owner
910-864-7004
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC MHL-047-096)
Enumeration Date
2006-08-20
Last Update Date
2008-10-01
Business Address
PINE VILLAGE TREATMENT SERVICES
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304-4215
Phone number: 910-864-7004
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Mailing Address
PINE VILLAGE TREATMENT SERVICES
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304-4215
Phone number: 910-864-7004
Copy
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