| NPI | 1689918377 |
|---|---|
| Other Name | GLMC LA CROSSE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KARI B ADANK Cco 608-775-8025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2022-03-25 |