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Organization

TRINITY EQUESTRIAN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TONI MARIE MATTSON (CO-OWNER & DIRECTOR OF PROGRAMS)
(715) 835-4530
Entity
Organization

Contact information

Practice address
S5300 STATE ROAD 37, EAU CLAIRE, WI 54701-8628
(715) 835-4530
(715) 832-3229
Mailing address
S5300 STATE ROAD 37, EAU CLAIRE, WI 54701-8628
(715) 835-4530
(715) 832-3229

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
06/11/2010
Last updated
06/11/2010
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