NPI 1023527769

Red Road House

Organisation Prevention Professional Janesville, WI

Practice location

Address: 152 S Locust St, Janesville, WI 53548-3767
Phone: (608) 756-9252

Authorised official

Name: William Grahn
Title: Founder/Director
Phone: (608) 756-2592

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1023527769
Entity type: Organization
NPI issued: 26 Sep 2017
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.