Organization
TELLURIAN, INC.
Active
Parent organization
TELLURIAN, INC.
Other names
Tellurian UCAN, inc., La Crosse CARE Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TELLURIAN, INC.
Authorized official
ERICA L MUELLER (QUALITY ASSURANCE DIRECTOR)
(608) 204-8547
Entity
Organization
Contact information
Practice address
4647 MORMON COULEE RD, LA CROSSE, WI 54601-8225
(608) 519-3080
(608) 519-3083
Mailing address
4647 MORMON COULEE RD, LA CROSSE, WI 54601-8225
(608) 519-3080
(608) 519-3083
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0013220
WI
Other
Enumeration date
10/03/2012
Last updated
08/15/2022
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