Whalio Doctors

NPI 1700466588

County of Trempealeau

Organisation Mental Illness Community Based Residential Treatment Facility Whitehall, WI

Practice location

Address
N36585 County Road Qqq, Whitehall, WI 54773-4401
Phone
(715) 538-9136
Mailing address
W20410 State Road 121, Whitehall, WI 54773-9147

Authorised official

Name
Leslie Coburn
Title
Lead Account Clerk
Phone
(715) 538-4312

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1700466588
Entity type
Organization
NPI issued
14 Apr 2021
Record last updated
14 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.