| University Of Wisconsin - La Crosse | |
|
1725 State St 2106 Centennial Hall La Crosse WI 54601-5460 | |
| (608) 785-8073 | |
| Not Available |
| Full Name | University Of Wisconsin - La Crosse |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1725 State St, La Crosse, Wisconsin |
| Authorized Official Name and Position | Crystal Dawn Champion (DIRECTOR) |
| Authorized Official Contact | 6087858073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Wisconsin - La Crosse 1725 State St La Crosse WI 54601-3742 Ph: (608) 785-8073 | University Of Wisconsin - La Crosse 1725 State St 2106 Centennial Hall La Crosse WI 54601-5460 Ph: (608) 785-8073 |
| NPI Number | 1386368041 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386368041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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