| Woodlan Youth And Family Services | |
|
20499 270th St. Cornell WI 54732-0201 | |
| (715) 202-0434 | |
| Not Available |
| Full Name | Woodlan Youth And Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20499 270th St., Cornell, Wisconsin |
| Authorized Official Name and Position | Michelle Linda Phelps (ASS. ADMINISTRATOR) |
| Authorized Official Contact | 7152020434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlan Youth And Family Services Po Box 201 Cornell WI 54732-0201 Ph: (715) 202-0434 | Woodlan Youth And Family Services 20499 270th St. Cornell WI 54732-0201 Ph: (715) 202-0434 |
| NPI Number | 1679019269 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679019269 | NPI | - | NPPES |
| 3739-125 | Other | WI | STATE OF WISCONSIN LICENSINGAND REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |