NPI | 1437401338 |
---|---|
Other Name | LA CROSSE CARE CENTER |
Former Legal Business Name | TELLURIAN UCAN, INC. |
Entity Type | Organization |
Authorized Contact | ERICA L MUELLER Quality Assurance Director 608-204-8547 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI 0013220) |
Enumeration Date | 2012-10-03 |
Last Update Date | 2022-08-15 |