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Northwest Passage Ltd
Emotionally Disturbed Childrens' Residential Treatment Facility in Frederic, Wisconsin
NPI 1235266065

Northwest Passage Ltd is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Frederic, WI. Northwest Passage Ltd practices in Frederic, WI. The NPI Number for Northwest Passage Ltd is 1235266065 and holds a License No. 560014 (Wisconsin).

The current practice location address for Northwest Passage Ltd is 203 United Way Drive, Frederic, WI and can be reached out via phone at 715-327-4402 and via fax at 715-327-4470.

Location: 203 United Way Drive, Frederic, WI, 54837-8938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235266065
Provider Name
Northwest Passage Ltd
Credential
Provider Entity Type
Organization
Address
203 United Way Drive, Frederic, WI, 54837-8938
Phone Number
715-327-4402
Fax Number
715-327-4470
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43015400 05 WI
NONE 01 WI HEALTH PARTNERS
3181NO 01 MN BCBS OF MN
institution
Provider Business Practice Location Address Details
Address
203 United Way Drive
City
Frederic
State
Wisconsin
Zip
54837-8938
Phone Number
715-327-4402
Fax Number
715-327-4470
person
Provider Business Mailing Address Details
Address
203 United Way Drive
City
Frederic
State
Wisconsin
Zip
54837-8938
Phone Number
715-327-4402
Fax Number
715-327-4470
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
560014 (Wisconsin)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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