Northwest Journey - Ellsworth

NPI #1306965033 in Ellsworth, Wisconsin

Provider Information

NPI Number
1306965033
Entity Type
Organization
Organization Name
Northwest Journey - Ellsworth
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Mar 27, 2007
Last Updated
Sep 23, 2010

Practice Location

Address
N6096 530TH ST
ZIP Code
54011-5107
Phone
(715) 273-0203

Authorized Official

Name
MR. NICK KALAMBOKIDIS
Title
CFO
Phone
(715) 327-4402

Specialties & Taxonomy Codes

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

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