institution
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. You can also correspond with Northwest Passage - Northwest Passage Ii through the mailing address at 1661 HAMS RD, SPOONER, WI - 54801-9138 (mailing address contact number: 715-635-7204).

Location: 1661 Hams Rd, Spooner, WI, 54801-9138
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
State
Zip
54801-9138
Phone Number
715-635-7204
Fax Number
person
Provider Business Mailing Address Details
Address
1661 Hams Rd
City
State
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
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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