MYSTIC CREEK, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Viola, WI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MYSTIC CREEK, LLC NPI is 1356700025. The provider is registered as an organization entity type.
The provider's business location address is:
12489 STATE HIGHWAY 56
VIOLA, WI
ZIP 54664-914
Phone: (608) 538-3781
Fax: (608) 538-3782
The provider's authorized official is Diane Cook .
The authorized official title is Owner and has the following contact phone number (608) 538-3781.
The enumeration date for this NPI number is 2/23/2016 and was last updated on 2/23/2016.