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Northwest Passage - Northwest Passage Ii
Emotionally Disturbed Childrens' Residential Treatment Facility in Spooner, Wisconsin
NPI 1285759035

Northwest Passage - Northwest Passage Ii is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Spooner, WI. Northwest Passage - Northwest Passage Ii practices in Spooner, WI. The NPI Number for Northwest Passage - Northwest Passage Ii is 1285759035 and holds a License No. 1004165 (Wisconsin).

The current practice location address for Northwest Passage - Northwest Passage Ii is 1661 Hams Rd, Spooner, WI and can be reached out via phone at 715-635-7204.

Location: 1661 Hams Rd, Spooner, WI, 54801-9138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285759035
Provider Name
Northwest Passage - Northwest Passage Ii
Credential
Provider Entity Type
Organization
Address
1661 Hams Rd, Spooner, WI, 54801-9138
Phone Number
715-635-7204
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43015500 05 WI
3181NO 01 MN BCBS OF MN
institution
Provider Business Practice Location Address Details
Address
1661 Hams Rd
City
Spooner
State
Wisconsin
Zip
54801-9138
Phone Number
715-635-7204
Fax Number
person
Provider Business Mailing Address Details
Address
1661 Hams Rd
City
Spooner
State
Wisconsin
Zip
54801-9138
Phone Number
715-635-7204
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
1004165 (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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