Chaps Academy, Inc | |
N5367 Mayflower Rd Shiocton WI 54170-8934 | |
(920) 986-3003 | |
(920) 986-3004 |
Full Name | Chaps Academy, Inc |
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Speciality | Community/behavioral Health |
Location | N5367 Mayflower Rd, Shiocton, Wisconsin |
Authorized Official Name and Position | Ann M Dake (CEO) |
Authorized Official Contact | 9209863003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chaps Academy, Inc N5367 Mayflower Rd Shiocton WI 54170-8934 Ph: (920) 986-3003 | Chaps Academy, Inc N5367 Mayflower Rd Shiocton WI 54170-8934 Ph: (920) 986-3003 |
NPI Number | 1013339159 |
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Provider Enumeration Date | 01/08/2014 |
Last Update Date | 01/08/2014 |
Identifier | Type | State | Issuer |
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1013339159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
James D Wiedenhoeft Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003 Fax: 920-986-3004 | |
Medical & Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003 Fax: 920-986-3004 |