Organization
FAMILY & CHILDREN'S CENTER, INC
Active
Parent organization
FAMILY & CHILDREN'S CENTER, INC
Other names
Family & Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & CHILDREN'S CENTER, INC
Authorized official
MIKE BOEHM (CEO, PRESIDENT)
(608) 785-0001
Entity
Organization
Contact information
Practice address
2507 WESTON ST, LA CROSSE, WI 54601-6851
(608) 787-9415
(608) 788-1920
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125604E211
UCARE
—
05
—
43015200
—
WI
01
—
6345926
COUNTY PROVIDER
WI
05
—
724022800
—
MN
01
—
HPFIN77035
HEALTHPARTNERS
MN
Enumeration date
03/07/2007
Last updated
01/13/2012
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