OrganizationActive
Tellurian, Inc.
NPI 1437401338 · Mental Illness Community Based Residential Treatment Facility · La Crosse, WI
Provider details
- NPI number
- 1437401338
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Tellurian, Inc.
- Organization subpart
- Yes
- Authorized official
- Erica Mueller, Quality Assurance Director(608) 204-8547
- License
- 0013220 (WI)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4647 Mormon Coulee Rd
La Crosse, WI 54601-8225
Phone: (608) 519-3080
Fax: (608) 519-3083
Approximate (ZIP-level) locationGet directions
Mailing address
4647 Mormon Coulee Rd
La Crosse, WI 54601-8225
Other names (DBA / former)
- Other name
- La Crosse Care Center
- Former legal business name
- Tellurian Ucan, Inc.
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2022-08-15
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.