Organization · Type 2 NPI

Pine Valley Residential Services

Mental Illness Community Based Residential Treatment Facility · Mauston, WI

NPI number 1891126751 Active

Practice location

124 Grayside Ave
Mauston, WI 53948-1913

Call (608) 847-7575 Map

Fax (608) 847-3096

Mailing address

PO Box 359
Mauston, WI 53948-0359

Other practice locations

  • W1889 Koval Rd, Lyndon Station, WI 53944-9398 · (608) 847-7575

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000X7163-123 (WI)
Community/Behavioral Health Agency 251S00000X7163-123 (WI)
Mental Illness Community Based Residential Treatment Facility Primary 320800000XAFH (WI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XAFH (WI)

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.

14 other providers at this address

About NPI 1891126751

Pine Valley Residential Services's National Provider Identifier is 1891126751, issued on Dec 3, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mauston, WI. The record was last updated on Aug 28, 2023.