Organization
THE PINES TREATMENT & RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D TOMASINI (CEO)
(920) 787-0818
Entity
Organization
Contact information
Practice address
N3387 STATE ROAD 73, WAUTOMA, WI 54982-5257
(920) 787-0818
Mailing address
N3387 STATE ROAD 73, WAUTOMA, WI 54982
(920) 787-0818
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0014457
WI
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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