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Willow Creek Ranch, Inc.
Adolescent and Children Mental Health Clinic/Center in Mukwonago, Wisconsin
NPI 1417334988

Willow Creek Ranch, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Mukwonago, WI and is specialized in Adolescent and Children Mental Health. Willow Creek Ranch, Inc. practices in Mukwonago, WI. The NPI Number for Willow Creek Ranch, Inc. is 1417334988 and holds a License No. 091707 (Wisconsin).

The current practice location address for Willow Creek Ranch, Inc. is 7404 Northwest Hwy # 83, Mukwonago, WI and can be reached out via phone at 414-791-2509.

Location: 7404 Northwest Hwy # 83, Mukwonago, WI, 53149-8903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417334988
Provider Name
Willow Creek Ranch, Inc.
Credential
Provider Entity Type
Organization
Address
7404 Northwest Hwy # 83, Mukwonago, WI, 53149-8903
Phone Number
414-791-2509
Fax Number
Provider Enumeration Date
05/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
091707 05 WI
institution
Provider Business Practice Location Address Details
Address
7404 Northwest Hwy # 83
City
Mukwonago
State
Wisconsin
Zip
53149-8903
Phone Number
414-791-2509
Fax Number
person
Provider Business Mailing Address Details
Address
7404 Northwest Hwy # 83
City
Mukwonago
State
Wisconsin
Zip
53149-8903
Phone Number
414-791-2509
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
091707 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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