| NPI | 1891126751 |
|---|---|
| Other Name | PINE VALLEY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JESSICA SCHULZ CEO / Owner Member LLC 608-847-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI AFH) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: WI AFH) |
| 251B00000X Case Management (Licence: WI 7163-123) | |
| 251S00000X Community/Behavioral Health (Licence: WI 7163-123) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2023-08-28 |