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Tellurian, Inc.
Mental Illness Community Based Residential Treatment Facility in La Crosse, Wisconsin
NPI 1437401338

Tellurian, Inc. is a Mental Illness Community Based Residential Treatment Facility based in La Crosse, WI. Tellurian, Inc. practices in La Crosse, WI. The NPI Number for Tellurian, Inc. is 1437401338 and holds a License No. 0013220 (Wisconsin).

The current practice location address for Tellurian, Inc. is 4647 Mormon Coulee Rd, La Crosse, WI and can be reached out via phone at 608-519-3080 and via fax at 608-519-3083.

Location: 4647 Mormon Coulee Rd, La Crosse, WI, 54601-8225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437401338
Provider Name
Tellurian, Inc.
Credential
Provider Entity Type
Organization
Address
4647 Mormon Coulee Rd, La Crosse, WI, 54601-8225
Phone Number
608-519-3080
Fax Number
608-519-3083
Provider Enumeration Date
10/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4647 Mormon Coulee Rd
City
La Crosse
State
Wisconsin
Zip
54601-8225
Phone Number
608-519-3080
Fax Number
608-519-3083
person
Provider Business Mailing Address Details
Address
4647 Mormon Coulee Rd
City
La Crosse
State
Wisconsin
Zip
54601-8225
Phone Number
608-519-3080
Fax Number
608-519-3083
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
0013220 (Wisconsin)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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