Northwest Passage Ltd

NPI #1639294168 in Webster, Wisconsin

Provider Information

NPI Number: 1639294168
Entity Type: Organization
Organization Name: Northwest Passage Ltd
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 21, 2007
Last Updated: Mar 27, 2012

Practice Location

Address: 7818 MOLINE ROAD
City: Webster
State: Wisconsin
ZIP Code: 54893-8545
Phone: (715) 866-8301

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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