Organization
FAMILY & CHILDREN'S CENTER, INC
Active
Parent organization
FAMILY & CHILDREN'S CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & CHILDREN'S CENTER, INC
Authorized official
JOHN BURGESS (CEO, PRESIDENT)
(608) 785-0001
Entity
Organization
Contact information
Practice address
2505 WESTON ST, LA CROSSE, WI 54601-6851
(608) 787-9403
(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
—
43018100
—
WI
01
—
HPFIN77035
HEALTHPARTNERS
MN
Enumeration date
03/08/2007
Last updated
07/09/2010
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