Organization
HO CHUNK NATION
Active
Parent organization
HO CHUNK NATION
Other names
House of Wellness Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
HO CHUNK NATION
Authorized official
MS. LIZ M LUND (PROVIDER NETWORK MANAGER)
(715) 284-9851
Entity
Organization
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 356-1251
(608) 356-7122
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1413
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413
STATE CERTIFICATION
WI
Enumeration date
10/06/2010
Last updated
03/27/2018
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