Behavioral Health - Tomah | |
505 Gopher Dr Tomah WI 54660-4513 | |
(608) 782-7300 | |
Not Available |
Full Name | Behavioral Health - Tomah |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 505 Gopher Dr, Tomah, Wisconsin |
Authorized Official Name and Position | Kari B Adank (CCO) |
Authorized Official Contact | 6087758025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Health - Tomah 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Behavioral Health - Tomah 505 Gopher Dr Tomah WI 54660-4513 Ph: (608) 782-7300 |
NPI Number | 1609818020 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 08/06/2021 |
Certification Date | 08/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609818020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Ho-chunk Behavioral Health Care - Tomah Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27374 State Highway 21, Tomah, WI 54660 Phone: 608-372-5813 Fax: 608-372-0889 | |
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