PINE VILLAGE TREATMENT SERVICES
NPI 1962517144
Community/Behavioral Health in Fayetteville, NC

Q: What is Pine Village Treatment Services's NPI number?

The NPI number for Pine Village Treatment Services is 1962517144. It was assigned to this organization in the NPPES registry on August 20, 2006.

Q: What is Pine Village Treatment Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 20, 2006

1206 HOPE MILLS RD, FAYETTEVILLE, NC 28304(910) 864-7004(910) 864-3002 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pine Village Treatment Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE VILLAGE TREATMENT SERVICES (NPI 1962517144) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since August 2006. The organization lists Chris A Derepentigny, Owner, as its authorized official.

NPPES Registry Identity

NPI1962517144

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePINE VILLAGE TREATMENT SERVICES

Location Address1206 HOPE MILLS RDFayetteville, NC 28304-4215

Mailing Address1206 Hope Mills RdFayetteville, NC 28304-4215 · (910) 864-7004 · Fax (910) 864-3002

Phone(910) 864-7004

Fax(910) 864-3002

Organization SubpartNo

Authorized OfficialChris A DerepentignyOwner · (910) 864-7004

Enumeration DateAugust 20, 2006

Last NPPES UpdateOctober 1, 2008

✔ NPI 1962517144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · MHL-047-096

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1206 HOPE MILLS RD, Fayetteville, NC 28304

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Other Identifiers 1

Medicaid8301247NC

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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