Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Parent organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC
Other names
Sauk/Columbia IOP Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC
Authorized official
TARA TREGLOWNE (COO)
(414) 246-2300
Entity
Organization
Contact information
Practice address
414 BROADWAY ST STE 101, BARABOO, WI 53913-2488
(608) 448-1011
(608) 355-4106
Mailing address
727 8TH ST, BARABOO, WI 53913-1794
(608) 448-1011
(608) 355-4106
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
01/06/2025
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