Ho Chunk Nation

NPI #1427367663 in Tomah, Wisconsin

Provider Information

NPI Number: 1427367663
Entity Type: Organization
Organization Name: Ho Chunk Nation
Subpart: Yes (part of a larger organization)
Parent Organization: HO CHUNK NATION
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 6, 2010
Last Updated: Mar 27, 2018

Practice Location

Address: 27374 STATE HIGHWAY 21
City: Tomah
State: Wisconsin
ZIP Code: 54660-4501
Phone: (608) 372-5813

Authorized Official

Name: MS. LIZ M LUND
Title: PROVIDER NETWORK MANAGER
Phone: (715) 284-9851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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