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Organization

JAMES D WIEDENHOEFT PARTNERSHIP

Active
Parent organization
CHAPS ACADEMY, INC
Other names
Medical & Counseling Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHAPS ACADEMY, INC
Authorized official
MS. ANN M DAKE LCSW (CEO)
(920) 986-3003
Entity
Organization

Contact information

Practice address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(920) 986-3003
(920) 986-3004
Mailing address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(920) 986-3003
(920) 986-3004

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1578
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42192600
WI
Enumeration date
05/02/2008
Last updated
02/04/2014
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