Northwest Passage - Northwest Passage II

NPI #1285759035 in Spooner, Wisconsin

Provider Information

NPI Number: 1285759035
Entity Type: Organization
Organization Name: Northwest Passage - Northwest Passage II
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1661 HAMS RD
City: Spooner
State: Wisconsin
ZIP Code: 54801-9138
Phone: (715) 635-7204

Authorized Official

Name: MARK ELLIOT
Title: PROGRAM DIRECTOR
Phone: (715) 327-4402

Specialties & Taxonomy Codes

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

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