| Hrc Mental Health Center | |
|
39 N 25th St E Superior WI 54880-5269 | |
| (715) 392-8216 | |
| (715) 392-6055 |
| Full Name | Hrc Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 39 N 25th St E, Superior, Wisconsin |
| Authorized Official Name and Position | Steve Engelson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7153928216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hrc Mental Health Center 39 N 25th St E Superior WI 54880-5269 Ph: (715) 392-8216 | Hrc Mental Health Center 39 N 25th St E Superior WI 54880-5269 Ph: (715) 392-8216 |
| NPI Number | 1922073121 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922073121 | NPI | - | NPPES |
| 42109500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Kim Lagro Counseling Services,llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2207 E 5th St, Superior, WI 54880 Phone: 715-256-8907 Fax: 715-256-8906 | |
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The Superior Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 Tower Ave, Suite 307, Superior, WI 54880 Phone: 715-392-9300 Fax: 715-392-8041 | |
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