Organization
TRINITEAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PEITZMAN (EXECUTIVE DIRECTOR)
(715) 836-8106
Entity
Organization
Contact information
Practice address
202 GRAHAM AVE, EAU CLAIRE, WI 54701-3632
(715) 836-8106
(715) 836-8104
Mailing address
202 GRAHAM AVE, EAU CLAIRE, WI 54701-3632
(715) 836-8106
(715) 836-8104
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1936
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689993602
—
WI
Enumeration date
06/01/2010
Last updated
07/05/2010
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