Tellurian, Inc.

NPI #1609129410 in Monona, Wisconsin

Provider Information

NPI Number: 1609129410
Entity Type: Organization
Organization Name: Tellurian, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: TELLURIAN, INC.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 17, 2012
Last Updated: Aug 15, 2022

Practice Location

Address: 300 FEMRITE DR
City: Monona
State: Wisconsin
ZIP Code: 53716-3716
Phone: (608) 222-7311

Authorized Official

Name: AUTUMN L SHAFFER
Title: QUALITY ASSURANCE DIRECTOR
Phone: (608) 663-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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