TELLURIAN INC. NPI 1104279330

NPI Details

TELLURIAN, INC. is a community behavioral health in Baraboo, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. TELLURIAN, INC. NPI is 1104279330. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tellurian Ucan, Inc..

The provider's business location address is:

414 BROADWAY ST
SUITE 101
BARABOO, WI
ZIP 53913-488
Phone: (608) 402-4312
Fax: (608) 355-0459

The provider's authorized official is Kevin Florek .
The authorized official title is Ceo and has the following contact phone number (608) 663-2120.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 7/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: