Organization · Type 2 NPI

Tellurian, Inc.

Mental Illness Community Based Residential Treatment Facility · La Crosse, WI

NPI number 1437401338 Active

Practice location

4647 Mormon Coulee Rd
La Crosse, WI 54601-8225

Fax (608) 519-3083

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	0013220 (WI)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2 other providers at this address

Other mental illness community based residential treatment facility providers in La Crosse

Tellurian, Inc.Mental Illness Community Based Residential Treatment Facility La Crosse, WI NPI 1881459824

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NPI record

NPI: 1437401338
Entity type: Organization (Type 2)
Issued: Oct 3, 2012
Last updated: Aug 15, 2022
Status: Active
Subpart: Yes of Tellurian, Inc.

Other names

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Tellurian Ucan, Inc. · former legal business name
La Crosse Care Center · other name

Authorized official

Erica L Mueller
Quality Assurance Director
(608) 204-8547

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437401338

Tellurian, Inc.'s National Provider Identifier is 1437401338, issued on Oct 3, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in La Crosse, WI. The record was last updated on Aug 15, 2022.