| Driftless Neurons Llc | |
|
4565 Brickyard Ln La Crosse WI 54601-2356 | |
| (847) 903-3553 | |
| Not Available |
| Full Name | Driftless Neurons Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4565 Brickyard Ln, La Crosse, Wisconsin |
| Authorized Official Name and Position | Neil Brahmbhatt (OWNER) |
| Authorized Official Contact | 8479033553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driftless Neurons Llc 4565 Brickyard Ln La Crosse WI 54601-2356 Ph: (847) 903-3553 | Driftless Neurons Llc 4565 Brickyard Ln La Crosse WI 54601-2356 Ph: (847) 903-3553 |
| NPI Number | 1013643774 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013643774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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