Great Lakes Behavioral Health | |
550 N Dewey St Eau Claire WI 54703-3218 | |
(715) 834-6681 | |
Not Available |
Full Name | Great Lakes Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 550 N Dewey St, Eau Claire, Wisconsin |
Authorized Official Name and Position | Vera Matter (ADMINISTRATOR) |
Authorized Official Contact | 7158346681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Lakes Behavioral Health 550 N Dewey St Eau Claire WI 54703-3218 Ph: (715) 834-6681 | Great Lakes Behavioral Health 550 N Dewey St Eau Claire WI 54703-3218 Ph: (715) 834-6681 |
NPI Number | 1396182077 |
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Provider Enumeration Date | 06/04/2013 |
Last Update Date | 07/08/2015 |
Identifier | Type | State | Issuer |
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1396182077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2993 (Wisconsin) | Primary |
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