Organization · Type 2 NPI
Northwest Passage - Northwest Passage II
Emotionally Disturbed Childrens' Residential Treatment Facility · Spooner, WI
Practice location
1661 Hams Rd
Spooner, WI 54801-9138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 1004165 (WI) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
Another provider at this address
About NPI 1285759035
Northwest Passage - Northwest Passage II's National Provider Identifier is 1285759035, issued on Mar 20, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Spooner, WI. The record was last updated on Aug 22, 2020.