OrganizationActive
Pine Valley Residential Services
NPI 1891126751 · Mental Illness Community Based Residential Treatment Facility · Mauston, WI
Provider details
- NPI number
- 1891126751
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Jessica Schulz, Ceo / Owner Member LLC
- License
- AFH (WI)
Practice location
124 Grayside Ave
Mauston, WI 53948-1913
Phone: (608) 847-7575
Fax: (608) 847-3096
Mailing address
Po Box 359
Mauston, WI 53948-0359
Registry dates
- Enumerated
- 2013-12-03
- Last updated
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.