Pine Valley Residential Services

NPI #1891126751 in Mauston, Wisconsin

Provider Information

NPI Number
1891126751
Entity Type
Organization
Organization Name
Pine Valley Residential Services
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Dec 3, 2013
Last Updated
Aug 28, 2023

Practice Location

Address
124 GRAYSIDE AVE
ZIP Code
53948-1913
Phone
(608) 847-7575

Authorized Official

Name
JESSICA SCHULZ
Title
CEO / OWNER MEMBER LLC
Phone
(608) 847-7575

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Case Management
Community/Behavioral Health
Community Based Residential Treatment Facility, Mental Illness

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Provider Name
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