Ho Chunk Nation
Clinic/Center, Mental Health (Including Community Mental Health Center) in Baraboo, WI. Organization (NPI-2).
NPI number1659680718
StatusActive
Last updated in NPPESMar 27, 2018
Details
- NPI
- 1659680718
- Entity type
- Organization (NPI-2)
- Legal business name
- Ho Chunk Nation
- Organization subpart
- Yes
- Enumeration date
- Oct 6, 2010
- Last updated
- Mar 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 1413 | WI | Yes |
Other names
- House Of Wellness Behavioral Health (Doing Business As)
Practice location
S2845 White Eagle RdBaraboo, WI 53913-9064
Phone 608-356-1251 · Fax 608-356-7122
Mailing address
N6520 Lumberjack Guy RdBlack River Falls, WI 54615-5405
Phone 715-284-9851 · Fax 715-284-5150
Authorized official
Liz M Lund
Provider Network Manager
7152849851
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