Family & Children's Center | |
1707 Main St La Crosse WI 54601-4200 | |
(608) 785-0001 | |
(608) 785-0002 |
Full Name | Family & Children's Center |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1707 Main St, La Crosse, Wisconsin |
Authorized Official Name and Position | Mike Boehm (CEO, PRESIDENT) |
Authorized Official Contact | 6087850001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family & Children's Center 1707 Main St La Crosse WI 54601-4200 Ph: (608) 785-0001 | Family & Children's Center 1707 Main St La Crosse WI 54601-4200 Ph: (608) 785-0001 |
NPI Number | 1205965415 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 01/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205965415 | NPI | - | NPPES |
163907000 | Other | WI | MAGELLAN |
HPFIN77035 | Other | MN | HEALTHPARTNERS |
43004800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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