NPI | 1881459824 |
---|---|
Other Name | TELLURIAN |
Entity Type | Organization |
Authorized Contact | ERICA MUELLER Quality Assurance Manager 608-204-8547 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-20 |