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Human Development Associates of Lacrosse LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Lacrosse, WI

NPI 1487790044 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1487790044
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
1425 (WI)
Legal business name
HUMAN DEVELOPMENT ASSOCIATES OF LACROSSE LLC
Practice address
2920 East Ave S
Suite 101
Lacrosse, WI 54601-8282
Phone
(608) 784-8688
Fax
(608) 784-8684
NPI assigned
Jan 30, 2007
Organization subpart
No

Authorized official

Name
Martin Kreuzer, LICSW
Title
Corporation Member
Phone
(608) 784-8688

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2920 East Ave S
La Crosse, WI 54601
Phone (608) 784-8688

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1425 WI Yes

Addresses

Primary practice location

2920 East Ave S
Suite 101
Lacrosse, WI 54601-8282

Mailing address

2920 East Ave S
Suite 101
Lacrosse, WI 54601-8282
Phone (608) 784-8688

Other identifiers

IdentifierTypeStateIssuer
42125000MedicaidWI

Other providers in Lacrosse, WI

All providers in Lacrosse, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

Sources for this page

Verify at the official NPI Registry.