| NPI | 1013261486 |
|---|---|
| Other Name | TELLURIAN DETOXIFICATION CENTER |
| Former Legal Business Name | TELLURIAN, UCAN, INC. |
| Entity Type | Organization |
| Authorized Contact | ERICA MUELLER Qa Manager 608-204-8547 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1904) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2024-05-03 |