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Evergreen Home Of Berlin, Inc.
Mental Illness Community Based Residential Treatment Facility in Berlin, Wisconsin
NPI 1063742526

Evergreen Home Of Berlin, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Sparta, WI. Evergreen Home Of Berlin, Inc. practices in Berlin, WI. The NPI Number for Evergreen Home Of Berlin, Inc. is 1063742526 and holds a License No. (Wisconsin).

The current practice location address for Evergreen Home Of Berlin, Inc. is 508 E Marquette St, Berlin, WI and can be reached out via phone at 920-361-3231 and via fax at 920-361-3231.

Location: 508 E Marquette St, Berlin, WI, 54656-3617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063742526
Provider Name
Evergreen Home Of Berlin, Inc.
Credential
Provider Entity Type
Organization
Address
508 E Marquette St, Berlin, WI, 54656-3617
Phone Number
920-361-3231
Fax Number
920-361-3231
Provider Enumeration Date
01/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
508 E Marquette St
City
Berlin
State
Wisconsin
Zip
54923-9404
Phone Number
920-361-3231
Fax Number
920-361-3231
person
Provider Business Mailing Address Details
Address
508 E Marquette St
City
Berlin
State
Wisconsin
Zip
54923-9404
Phone Number
920-361-3231
Fax Number
920-361-3231
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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