| NPI | 1104279330 |
|---|---|
| Former Legal Business Name | TELLURIAN UCAN, INC. |
| Entity Type | Organization |
| Authorized Contact | KEVIN FLOREK CEO 608-663-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 3127) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |