| Pine Woods Retreat, Inc. | |
|
1149 Cornell Ave Suite 3-a Savannah GA 31406-2700 | |
| (912) 354-7447 | |
| Not Available |
| Full Name | Pine Woods Retreat, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1149 Cornell Ave, Savannah, Georgia |
| Authorized Official Name and Position | Jane A. Nangle (PRESIDENT OF THE BOARD OF TRUSTEES) |
| Authorized Official Contact | 9123547447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Woods Retreat, Inc. 1149 Cornell Ave Suite 3-a Savannah GA 31406-2700 Ph: (912) 354-7447 | Pine Woods Retreat, Inc. 1149 Cornell Ave Suite 3-a Savannah GA 31406-2700 Ph: (912) 354-7447 |
| NPI Number | 1396976494 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396976494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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