NPI 1497921183

James D Wiedenhoeft Partnership

Organisation Community/Behavioral Health Agency Shiocton, WI

Practice location

Address: N5367 Mayflower Rd, Shiocton, WI 54170-8934
Phone: (920) 986-3003
Fax: (920) 986-3004

Authorised official

Name: Ann M Dake
Title: Ceo
Phone: (920) 986-3003

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1578 (WI)

Other Community/Behavioral Health providers in Wisconsin →

Registry record

NPI: 1497921183
Entity type: Organization
NPI issued: 2 May 2008
Record last updated: 4 Feb 2014

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.