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Lac Courte Oreilles Day Treatment Program
Adolescent and Children Mental Health Clinic/Center in Hayward, Wisconsin
NPI 1275707010

Lac Courte Oreilles Day Treatment Program is an Adolescent and Children Mental Health Clinic/Center based in Hayward, WI and is specialized in Adolescent and Children Mental Health. Lac Courte Oreilles Day Treatment Program practices in Hayward, WI. The NPI Number for Lac Courte Oreilles Day Treatment Program is 1275707010 and holds a License No. 1486 (Wisconsin).

The current practice location address for Lac Courte Oreilles Day Treatment Program is 13380 W Trepania Rd, Hayward, WI and can be reached out via phone at 715-638-5100 and via fax at 715-634-6107.

Location: 13380 W Trepania Rd, Hayward, WI, 54843-2186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275707010
Provider Name
Lac Courte Oreilles Day Treatment Program
Credential
Provider Entity Type
Organization
Address
13380 W Trepania Rd, Hayward, WI, 54843-2186
Phone Number
715-638-5100
Fax Number
715-634-6107
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42135921 05 WI
institution
Provider Business Practice Location Address Details
Address
13380 W Trepania Rd
City
Hayward
State
Wisconsin
Zip
54843-2186
Phone Number
715-638-5100
Fax Number
715-634-6107
person
Provider Business Mailing Address Details
Address
13380 W Trepania Rd
City
Hayward
State
Wisconsin
Zip
54843-2186
Phone Number
715-638-5100
Fax Number
715-634-6107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
1486 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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