Organization Name: | PINES HEALTH SERVICES |
NPI Number: | 1508291089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES DAVIS (CEO) |
Mailing Address: | 11 Harmony Ln Fort Fairfield |
State: | ME US |
Postal Code: | 047423354 |
Phone Number: | 2074720590 |
Fax Number: | 2074720592 |
NPI Enumeration Date: | 09/04/2013 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |