La Crosse Center For Children And Families, Llc | |
2920 East Ave S La Crosse WI 54601-8231 | |
(608) 788-9941 | |
(608) 785-0002 |
Full Name | La Crosse Center For Children And Families, Llc |
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Speciality | Community/behavioral Health |
Location | 2920 East Ave S, La Crosse, Wisconsin |
Authorized Official Name and Position | Kip H Zirkel (PSYCHOLOGIST) |
Authorized Official Contact | 6087889941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Crosse Center For Children And Families, Llc W5927 Hillcrest Dr La Crosse WI 54601-8451 Ph: (608) 788-9941 | La Crosse Center For Children And Families, Llc 2920 East Ave S La Crosse WI 54601-8231 Ph: (608) 788-9941 |
NPI Number | 1457674004 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457674004 | NPI | - | NPPES |
39018600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 781 (Wisconsin) | Primary |
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