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Organization

LA CROSSE COUTNY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD HUBER (DIRECTOR)
(608) 785-6101
Entity
Organization

Contact information

Practice address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6101
Mailing address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6101

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41684400
WI
Enumeration date
07/03/2008
Last updated
07/03/2008
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