| Triniteam, Inc. | |
|
202 Graham Ave Eau Claire WI 54701-3632 | |
| (715) 836-8106 | |
| (715) 836-8104 |
| Full Name | Triniteam, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 202 Graham Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Robert Peitzman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7158368106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triniteam, Inc. 202 Graham Ave Eau Claire WI 54701-3632 Ph: (715) 836-8106 | Triniteam, Inc. 202 Graham Ave Eau Claire WI 54701-3632 Ph: (715) 836-8106 |
| NPI Number | 1689993602 |
|---|---|
| Provider Enumeration Date | 06/01/2010 |
| Last Update Date | 07/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689993602 | NPI | - | NPPES |
| 1689993602 | Medicaid | WI |
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