Evergreen Pines Inc
Evergreen Pines Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.
- Licensed in
- WI
- In the registry since
- 2013
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
343 E Cumberland StBerlin, WI 54923-1206
Phone: (920) 290-3305
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 14846 (WI) |
|---|
Record details
| NPI number | 1851721344 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keri Haywood — President · (920) 229-3664 |
| NPI enumerated | November 19, 2013 |
| Last updated in NPPES | November 19, 2013 |
| Mailing address | Po Box 506, Sparta, WI 54656-0506 |
Other providers in Berlin
-
Berlin Pines, Inc
642 Broadway, Berlin, WI 54923-1302 · (920) 290-3090