James D Wiedenhoeft Partnership

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1396180261

James D Wiedenhoeft Partnership is an Adolescent and Children Mental Health Clinic/Center in Shiocton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in: WI
In the registry since: 2013

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary)	Taxonomy 261QM0855X · Licence 1447-226 (WI)

Record details

NPI number	1396180261
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Ann Dake — Founder/Ceo · (920) 986-3003
NPI enumerated	May 6, 2013
Last updated in NPPES	May 6, 2013
Mailing address	N5367 Mayflower Rd, Shiocton, WI 54170-8934