| James D Wiedenhoeft Partnership | |
|
N5367 Mayflower Rd Shiocton WI 54170-8934 | |
| (920) 986-3003 | |
| (920) 986-3004 |
| Full Name | James D Wiedenhoeft Partnership |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | N5367 Mayflower Rd, Shiocton, Wisconsin |
| Authorized Official Name and Position | Ann Dake (FOUNDER/CEO) |
| Authorized Official Contact | 9209863003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James D Wiedenhoeft Partnership N5367 Mayflower Rd Shiocton WI 54170-8934 Ph: (920) 986-3003 | James D Wiedenhoeft Partnership N5367 Mayflower Rd Shiocton WI 54170-8934 Ph: (920) 986-3003 |
| NPI Number | 1396180261 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396180261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1447-226 (Wisconsin) | Primary |
Chaps Academy, Inc 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 |