Organization · Type 2 NPI
Evergreen Pines Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Berlin, WI
Practice location
343 E Cumberland St
Berlin, WI 54923-1206
Mailing address
PO Box 506
Sparta, WI 54656-0506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 14846 (WI) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Berlin
About NPI 1851721344
Evergreen Pines Inc's National Provider Identifier is 1851721344, issued on Nov 19, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Berlin, WI. The record was last updated on Nov 19, 2013.