| Family & Children's Center | |
|
1707 Main St La Crosse WI 54601-4200 | |
| (608) 785-0001 | |
| (608) 785-0002 |
| Full Name | Family & Children's Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1707 Main St, La Crosse, Wisconsin |
| Authorized Official Name and Position | Mike Boehm (CEO, PRESIDENT) |
| Authorized Official Contact | 6087850001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Children's Center 1707 Main St La Crosse WI 54601-4200 Ph: (608) 785-0001 | Family & Children's Center 1707 Main St La Crosse WI 54601-4200 Ph: (608) 785-0001 |
| NPI Number | 1205965415 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 01/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205965415 | NPI | - | NPPES |
| 163907000 | Other | WI | MAGELLAN |
| HPFIN77035 | Other | MN | HEALTHPARTNERS |
| 43004800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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