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Northwest Journey - Wisconsin Rapids Day Treatm
Adolescent and Children Mental Health Clinic/Center in Wisconsin Rapids, Wisconsin
NPI 1669599288

Northwest Journey - Wisconsin Rapids Day Treatm is an Adolescent and Children Mental Health Clinic/Center based in Wisconsin Rapids, WI and is specialized in Adolescent and Children Mental Health. Northwest Journey - Wisconsin Rapids Day Treatm practices in Wisconsin Rapids, WI. The NPI Number for Northwest Journey - Wisconsin Rapids Day Treatm is 1669599288 and holds a License No. 2291 (Wisconsin).

The current practice location address for Northwest Journey - Wisconsin Rapids Day Treatm is 110 24Th St S, Wisconsin Rapids, WI and can be reached out via phone at 715-424-5040 and via fax at 715-424-5720.

Location: 110 24Th St S, Wisconsin Rapids, WI, 54494-1906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669599288
Provider Name
Northwest Journey - Wisconsin Rapids Day Treatm
Credential
Provider Entity Type
Organization
Address
110 24Th St S, Wisconsin Rapids, WI, 54494-1906
Phone Number
715-424-5040
Fax Number
715-424-5720
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85575 01 MN PREFERRED ONE
43006100 05 WI
42626 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
110 24Th St S
City
Wisconsin Rapids
State
Wisconsin
Zip
54494-1906
Phone Number
715-424-5040
Fax Number
715-424-5720
person
Provider Business Mailing Address Details
Address
110 24Th St S
City
Wisconsin Rapids
State
Wisconsin
Zip
54494-1906
Phone Number
715-424-5040
Fax Number
715-424-5720
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2291 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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