EVERGREEN MANOR II is a community based residential treatment facility mental illness in Sparta, WI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EVERGREEN MANOR II NPI is 1457689192. The provider is registered as an organization entity type.
The provider's business location address is:
8429 IDYLLVIEW AVE
SPARTA, WI
ZIP 54656-617
Phone: (608) 487-9067
Fax: (608) 487-9067
The provider's authorized official is Larenda L Rosin .
The authorized official title is President and has the following contact phone number (608) 487-9067.
The enumeration date for this NPI number is 11/18/2009 and was last updated on 11/18/2009.