Organization
TELLURIAN, INC.
Active
Parent organization
TELLURIAN
Other names
Tellurian
Organization subpart
Yes
Provider details
NPI number
Legal business name
TELLURIAN
Authorized official
ERICA MUELLER (QUALITY ASSURANCE MANAGER)
(608) 204-8547
Entity
Organization
Contact information
Practice address
1720 JACKSON ST, LA CROSSE, WI 54601-6679
(608) 222-7311
Mailing address
5900 MONONA DR STE 300, MONONA, WI 53716-3561
(608) 204-8547
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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