NPI | 1134395684 |
---|---|
Doing Business As | LAC COURTE OREILLES COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RAE E BAKER Billing Manager 715-638-5169 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2025-07-31 |