Organization · Type 2 NPI
Country Pines Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · La Grange, NC
Practice location
2307 N Beston Rd
La Grange, NC 28551-8627
Fax (919) 778-4009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL096117 (NC) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL096117 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in La Grange
About NPI 1497968762
Country Pines Inc's National Provider Identifier is 1497968762, issued on May 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in La Grange, NC. The record was last updated on Sep 4, 2007.