NPI 1013375104

Pine Valley Integrated Services LLC

Organisation Community/Behavioral Health Agency Mauston, WI

Practice location

Address: 124 Grayside Ave, Mauston, WI 53948-1913
Phone: (608) 847-7575
Fax: (608) 847-3096
Mailing address: PO Box 359, Mauston, WI 53948-0359

Authorised official

Name: Jessica Schulz
Title: Ceo / Owner Member LLC
Phone: (608) 847-7575

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Wisconsin →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Wisconsin →

Registry record

NPI: 1013375104
Entity type: Organization
NPI issued: 3 Feb 2016
Record last updated: 28 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.