Provider Demographics
NPI:1609408269
Name:PEAR TREE PEACE COMMUNITY ECONOMIC DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:PEAR TREE PEACE COMMUNITY ECONOMIC DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-938-0301
Mailing Address - Street 1:612 PINE TOPS RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27855-9595
Mailing Address - Country:US
Mailing Address - Phone:919-938-0301
Mailing Address - Fax:
Practice Address - Street 1:612 PINE TOPS RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:NC
Practice Address - Zip Code:27855-9595
Practice Address - Country:US
Practice Address - Phone:919-938-0301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility