Organization · Type 2 NPI
The Pines Treatment & Recovery Center
Substance Abuse Rehabilitation Facility · Wautoma, WI
NPI number
1457784662
Active
Practice location
N3387 State Road 73
Wautoma, WI 54982-5257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 0014457 (WI) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1457784662
The Pines Treatment & Recovery Center's National Provider Identifier is 1457784662, issued on Aug 12, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Wautoma, WI. The record was last updated on Aug 12, 2013.