Coulee Youth Centers, Inc.

LBN: Coulee Youth Centers, Inc.
Coulee Youth Centers, Inc. is an health care organization with primary practice located at 231 Copeland Ave , La Crosse WI 54603-3086. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Coulee Youth Centers, Inc. can be contacted via phone (608) 782-7152, or through Eide, Steven T. via phone (608) 782-7152.

Contact Information

Primary practice address
231 Copeland Ave La Crosse WI 54603-3086
Fax: (608) 785-1241
Website:
Authorized official contact:
Name: Eide, Steven T. Certified Social Worker (CSW)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1241 Wisconsin

Profile Details

NPI number 1821281577
LBN Legal business name Coulee Youth Centers, Inc.
DBA Doing business as
Authorized official Eide, Steven T. Certified Social Worker (CSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2007
Last updated Apr 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821281577 NPPES
Wisconsin MEDICAID 42164300

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