Organization · Type 2 NPI
Pine Grove Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Elgin, SC
Practice location
1500 Chestnut Road
Elgin, SC 29045-0100
Fax (803) 438-8611
Mailing address
PO Box 100
Elgin, SC 29045-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | SR0008132001CCI (SC) |
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.
About NPI 1346307899
Pine Grove Inc.'s National Provider Identifier is 1346307899, issued on Jan 3, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Elgin, SC. The record was last updated on Aug 22, 2020.