| NPI | 1043410988 |
|---|---|
| Doing Business As | PINE VIEW II |
| Entity Type | Organization |
| Authorized Contact | FRED BOYD CEO 414-527-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-08-22 |