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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PINE VALLEY RESIDENTIAL SERVICES

Active Organization

PINE VALLEY RESIDENTIAL SERVICES is a Psychiatric Residential Treatment Facility organization located in MAUSTON, Wisconsin. NPI 1891126751 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Residential Treatment Facility · MAUSTON, WI

Registration Details

NPI Number
1891126751
Provider Type
Organization
NPI Issued
Dec 3, 2013 (12.737293610783 yrs)
Last Updated
Aug 28, 2023
Licenses
AFH (WI)
7163-123 (WI)
7163-123 (WI)
AFH (WI)

Practice Information

Address
124 GRAYSIDE AVE
MAUSTON, WI, 539481913
Browse WI providers · Browse ZIP 53948
Phone
6088477575
Fax
6088473096
Additional Specialty
Case Management Agency
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.