institution
Pine Valley Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mauston, Wisconsin
NPI 1891126751

Pine Valley Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mauston, WI. Pine Valley Residential Services practices in Mauston, WI. The NPI Number for Pine Valley Residential Services is 1891126751 and holds a License No. 7163-123 (Wisconsin).

The current practice location address for Pine Valley Residential Services is 124 Grayside Ave, Mauston, WI and can be reached out via phone at 608-847-7575 and via fax at 608-847-3096.

Location: 124 Grayside Ave, Mauston, WI, 53948-0359
institution
Provider Profile Details
NPI Number
1891126751
Provider Name
Pine Valley Residential Services
Credential
Provider Entity Type
Organization
Address
124 Grayside Ave, Mauston, WI, 53948-0359
Phone Number
608-847-7575
Fax Number
608-847-3096
Provider Enumeration Date
12/03/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
124 Grayside Ave
City
State
Zip
53948-1913
Phone Number
608-847-7575
Fax Number
608-847-3096
person
Provider Business Mailing Address Details
Address
124 Grayside Ave
City
State
Zip
53948-1913
Phone Number
608-847-7575
Fax Number
608-847-3096
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
AFH (Wisconsin)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
AFH (Wisconsin)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
7163-123 (Wisconsin)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
7163-123 (Wisconsin)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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