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Northwest Journey - Menomonie Day Treatment
Adolescent and Children Mental Health Clinic/Center in Menomonie, Wisconsin
NPI 1770600413

Northwest Journey - Menomonie Day Treatment is an Adolescent and Children Mental Health Clinic/Center based in Menomonie, WI and is specialized in Adolescent and Children Mental Health. Northwest Journey - Menomonie Day Treatment practices in Menomonie, WI. The NPI Number for Northwest Journey - Menomonie Day Treatment is 1770600413 and holds a License No. 2660 (Wisconsin).

The current practice location address for Northwest Journey - Menomonie Day Treatment is 402 Technology Drive E, Menomonie, WI and can be reached out via phone at 718-523-5424 and via fax at 715-235-4421.

Location: 402 Technology Drive E, Menomonie, WI, 54751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770600413
Provider Name
Northwest Journey - Menomonie Day Treatment
Credential
Provider Entity Type
Organization
Address
402 Technology Drive E, Menomonie, WI, 54751
Phone Number
718-523-5424
Fax Number
715-235-4421
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42626 01 MN HEALTH PARTNERS
43009000 05 WI
85575 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
402 Technology Drive E
City
Menomonie
State
Wisconsin
Zip
54751
Phone Number
718-523-5424
Fax Number
715-235-4421
person
Provider Business Mailing Address Details
Address
402 Technology Drive E
City
Menomonie
State
Wisconsin
Zip
54751
Phone Number
718-523-5424
Fax Number
715-235-4421
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2660 (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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