Organization · Type 2 NPI

Pine Vale Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Corinth, MS

NPI number 1225324510 Active

Practice location

1872 County Road 700
Corinth, MS 38834-8734

Fax (662) 287-0283

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1225324510

Pine Vale Inc's National Provider Identifier is 1225324510, issued on Jun 24, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Corinth, MS. The record was last updated on Jun 24, 2011.