Organization · Type 2 NPI
Lac Du Flambeau Band of Lake Superior Chippewa Indians
Mental Health Clinic/Center (Including Community Mental Health Center) · Lac Du Flambeau, WI
NPI number
1669970729
Active
Practice location
3378 N. Schilleman Rd
Lac Du Flambeau, WI 54538-0815
Fax (715) 588-1889
Mailing address
PO Box 815
Lac Du Flambeau, WI 54538-0815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | 3100 (WI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1669970729
Lac Du Flambeau Band of Lake Superior Chippewa Indians's National Provider Identifier is 1669970729, issued on Jan 24, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lac Du Flambeau, WI. The record was last updated on Sep 13, 2018.