Organization · Type 2 NPI
Hidden Pines, Inc.
Mental Illness Community Based Residential Treatment Facility · Wild Rose, WI
NPI number
1730417783
Active
Practice location
N5085 18th Rd
Wild Rose, WI 54984-5915
Fax (920) 622-3711
Mailing address
8429 Idyllview Ave
Sparta, WI 54656-3617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1730417783
Hidden Pines, Inc.'s National Provider Identifier is 1730417783, issued on Dec 3, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Wild Rose, WI. The record was last updated on Dec 3, 2009.