Organization
HRC MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ENGELSON (PROGRAM DIRECTOR)
(715) 392-8216
Entity
Organization
Contact information
Practice address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(715) 392-8216
(715) 392-6055
Mailing address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(715) 392-8216
(715) 392-6055
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42109500
—
MN
Enumeration date
02/21/2006
Last updated
08/22/2020
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