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Organization

TELLURIAN, INC.

Active
Parent organization
TELLURIAN, INC.
Other names
Dane County CARE Center, Tellurian UCAN inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
TELLURIAN, INC.
Authorized official
AUTUMN L SHAFFER (QUALITY ASSURANCE DIRECTOR)
(608) 663-2120
Entity
Organization

Contact information

Practice address
300 FEMRITE DR, MONONA, WI 53716-3716
(608) 222-7311
(608) 463-1440
Mailing address
300 FEMRITE DR, MONONA, WI 53716-3716
(608) 222-7311
(608) 463-1440

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
WI

Other

Enumeration date
10/17/2012
Last updated
08/15/2022
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