LAC COURTE OREILLES DAY TREATMENT PROGRAM
Ambulatory Health at Trepania Rd, Lco Commercial Cent, WI

License number
Wisconsin 1486
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: MR. JAMES DRIVING HAWK
Title: HEALTH DIRECTOR
Phone: (715) 638-5100
Address
Address
13380 W Trepania Rd, Lco Commercial Cent, WI 54843
National Provider ID: 1275707010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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