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Northwest Passage Ltd
Emotionally Disturbed Childrens' Residential Treatment Facility in Webster, Wisconsin
NPI 1639294168

Northwest Passage Ltd is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Frederic, WI. Northwest Passage Ltd practices in Webster, WI. The NPI Number for Northwest Passage Ltd is 1639294168 and holds a License No. 560014 (Wisconsin).

The current practice location address for Northwest Passage Ltd is 7818 Moline Road, Webster, WI and can be reached out via phone at 715-866-8301 and via fax at 715-866-8374.

Location: 7818 Moline Road, Webster, WI, 54837-8938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639294168
Provider Name
Northwest Passage Ltd
Credential
Provider Entity Type
Organization
Address
7818 Moline Road, Webster, WI, 54837-8938
Phone Number
715-866-8301
Fax Number
715-866-8374
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3181NO 01 MN BCBS OF MN
43015300 05 WI
institution
Provider Business Practice Location Address Details
Address
7818 Moline Road
City
Webster
State
Wisconsin
Zip
54893-8545
Phone Number
715-866-8301
Fax Number
715-866-8374
person
Provider Business Mailing Address Details
Address
7818 Moline Road
City
Webster
State
Wisconsin
Zip
54893-8545
Phone Number
715-866-8301
Fax Number
715-866-8374
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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