Northwest Passage Ltd

NPI #1235266065 in Frederic, Wisconsin

Provider Information

NPI Number: 1235266065
Entity Type: Organization
Organization Name: Northwest Passage Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHWEST PASSAGE
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 28, 2007
Last Updated: Mar 27, 2012

Practice Location

Address: 203 UNITED WAY DRIVE
City: Frederic
State: Wisconsin
ZIP Code: 54837-8938
Phone: (715) 327-4402

Authorized Official

Name: JACKIE J MAURER
Title: BUSINESS OFFICE SUPERVISOR
Phone: (715) 327-4322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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