Lac Courte Oreilles Day Treatment Program in Hayward - Adolescent And Children Mental Health
Lac Courte Oreilles Day Treatment Program - NPI 1275707010
Lac Courte Oreilles Day Treatment Program is a Adolescent And Children Mental Health in Hayward, Wisconsin. Lac Courte Oreilles Day Treatment Program practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Lac Courte Oreilles Day Treatment Program is 1275707010. The last update date is 2008-04-14.
Lac Courte Oreilles Day Treatment Program's current location address is 13380 W Trepania Rd, Hayward, Wisconsin. You can contact this provider via phone number 7156385100 and fax number 7156346107. The mailing address for Lac Courte Oreilles Day Treatment Program is 13380 W Trepania Rd, Hayward, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lac Courte Oreilles Day Treatment Program |
|---|---|
| Address | 13380 W Trepania Rd, Hayward, Wisconsin |
| Phone Number | 7156385100 |
| Fax Number | 7156346107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH DIR |
|---|---|
| Authorized Official Name | Driving Hawk James |
| Telephone Number | 7156385100 |
NPI Number Detail
| NPI Number | 1275707010 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 13380 W Trepania Rd |
|---|---|
| City | Hayward |
| State | Wisconsin (WI) |
| Post Code | 548432186 |
| Phone Number | 7156385100 |
| Fax Number | 7156346107 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 1486 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42135921 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lac Courte Oreilles Day Treatment Program by the Centers for Medicare & Medicaid Services?
The Lac Courte Oreilles Day Treatment Program has been issued the NPI (National Provider Identifier) 1275707010 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Lac Courte Oreilles Day Treatment Program's physical address?
The Lac Courte Oreilles Day Treatment Program is physically located at 13380 W Trepania Rd, in the city of Hayward, WI, with the postal code 548432186.
What is the Lac Courte Oreilles Day Treatment Program's area of specialization and corresponding taxonomy classification?
The Lac Courte Oreilles Day Treatment Program's specialty field is Adolescent And Children Mental Health, and it falls under the taxonomy code 261Qm0855X, which categorizes healthcare providers based on their specialties.
On what date did Lac Courte Oreilles Day Treatment Program receive its 1275707010 assignment from the Centers for Medicare & Medicaid Services?
The Lac Courte Oreilles Day Treatment Program was assigned its 1275707010 on 2008-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lac Courte Oreilles Day Treatment Program most recently updated or revised?
The details related to Lac Courte Oreilles Day Treatment Program, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-14.
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