Woodlan Youth And Family Services | |
20499 270th St. Cornell WI 54732-0201 | |
(715) 202-0434 | |
Not Available |
Full Name | Woodlan Youth And Family Services |
---|---|
Speciality | Community/behavioral Health |
Location | 20499 270th St., Cornell, Wisconsin |
Authorized Official Name and Position | Michelle Linda Phelps (ASS. ADMINISTRATOR) |
Authorized Official Contact | 7152020434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Woodlan Youth And Family Services Po Box 201 Cornell WI 54732-0201 Ph: (715) 202-0434 | Woodlan Youth And Family Services 20499 270th St. Cornell WI 54732-0201 Ph: (715) 202-0434 |
NPI Number | 1679019269 |
---|---|
Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679019269 | NPI | - | NPPES |
3739-125 | Other | WI | STATE OF WISCONSIN LICENSINGAND REGULATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |