Organization · Type 2 NPI
Pine Grove Adult Home& Care, Inc
Adult Mental Health Clinic/Center · Noth Garden, VA
NPI number
1740683671
Active
Practice location
2609 North Garden Lane
Noth Garden, VA 22959
Fax (434) 295-1185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | ALF1078422 (VA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1740683671
Pine Grove Adult Home& Care, Inc's National Provider Identifier is 1740683671, issued on Oct 7, 2014. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Noth Garden, VA. The record was last updated on Oct 7, 2014.