Organization
TELLURIAN, INC.
Active
Parent organization
TELLURIAN, INC.
Other names
Tellurian Detoxification Center, Tellurian, UCAN, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TELLURIAN, INC.
Authorized official
ERICA MUELLER (QA MANAGER)
(608) 204-8547
Entity
Organization
Contact information
Practice address
2914 INDUSTRIAL DR, MADISON, WI 53713-4047
(608) 223-3311
(608) 223-3304
Mailing address
5900 MONONA DR STE 300, MONONA, WI 53716-3561
(608) 204-8547
(608) 223-3304
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1904
WI
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/06/2012
Last updated
05/03/2024
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