NPI | 1952501892 |
---|---|
Doing Business As | PINE VIEW OF WINDSOR |
Entity Type | Organization |
Authorized Contact | FRED BOYD CEO 608-846-9316 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-07-19 |
Last Update Date | 2020-08-22 |