| NPI | 1013375104 |
|---|---|
| Other Name | PINE VALLEY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JESSICA SCHULZ CEO / Owner Member LLC 608-847-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2023-08-28 |