Berlin Pines, INC

NPI #1679913487 in Berlin, Wisconsin

Provider Information

NPI Number: 1679913487
Entity Type: Organization
Organization Name: Berlin Pines, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 26, 2013
Last Updated: Jun 26, 2013

Practice Location

Address: 642 BROADWAY
City: Berlin
State: Wisconsin
ZIP Code: 54923-1302
Phone: (920) 290-3090

Authorized Official

Name: KERI M HAYWOOD
Title: OWNER
Phone: (920) 229-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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