Willow Creek Ranch, Inc.

NPI #1417334988 in Mukwonago, Wisconsin

Provider Information

NPI Number
1417334988
Entity Type
Organization
Organization Name
Willow Creek Ranch, Inc.
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
May 4, 2015
Last Updated
May 5, 2015

Practice Location

Address
7404 NORTHWEST HWY # 83
ZIP Code
53149-8903
Phone
(414) 791-2509

Authorized Official

Name
JENNIFER S. PAPE, REGISTERED INSTRUCTO
Title
FOUNDER/EXECUTIVE DIRECTOR
Phone
(414) 791-2509

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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