| 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 Community/Behavioral Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-20 |