| Life Skills Support Center Of Eau Claire, Ltd. | |
|
4907 Keystone Xing Eau Claire WI 54701-5144 | |
| (505) 730-2947 | |
| Not Available |
| Full Name | Life Skills Support Center Of Eau Claire, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4907 Keystone Xing, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Nino A Vidic (OWNER) |
| Authorized Official Contact | 5057302947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Skills Support Center Of Eau Claire, Ltd. 4907 Keystone Xing Eau Claire WI 54701-5144 Ph: (715) 514-0340 | Life Skills Support Center Of Eau Claire, Ltd. 4907 Keystone Xing Eau Claire WI 54701-5144 Ph: (505) 730-2947 |
| NPI Number | 1124225503 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124225503 | NPI | - | NPPES |
| 50281-020 | Other | WI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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