Red Road House

NPI #1023527769 in Janesville, Wisconsin

Provider Information

NPI Number: 1023527769
Entity Type: Organization
Organization Name: Red Road House
Primary Specialty: Prevention Professional
Enumeration Date: Sep 26, 2017
Last Updated: Jun 11, 2019

Practice Location

Address: 152 S LOCUST ST
City: Janesville
State: Wisconsin
ZIP Code: 53548-3767
Phone: (608) 756-9252

Authorized Official

Name: MISS WILLIAM GRAHN
Title: FOUNDER/DIRECTOR
Phone: (608) 756-2592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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