institution
Lac Courte Oreilles Governing Board
Mental Health Clinic/Center (Including Community Mental Health Center) in Hayward, Wisconsin
NPI 1982813390

Lac Courte Oreilles Governing Board is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Hayward, WI and is specialized in Mental Health (Including Community Mental Health Center). Lac Courte Oreilles Governing Board practices in Hayward, WI. The NPI Number for Lac Courte Oreilles Governing Board is 1982813390 and holds a License No. 1486 (Wisconsin).

The current practice location address for Lac Courte Oreilles Governing Board 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
institution
Provider Profile Details
NPI Number
1982813390
Provider Name
Lac Courte Oreilles Governing Board
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
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982813390 05 WI
institution
Provider Business Practice Location Address Details
Address
13380 W Trepania Rd
City
State
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
State
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
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1486 (Wisconsin)
Definition
Definition to come...
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