Organization · Type 2 NPI

Northwest Journey - Ellsworth

Adolescent and Children Mental Health Clinic/Center · Ellsworth, WI

NPI number 1306965033 Active

Practice location

N6096 530th St
Ellsworth, WI 54011-5107

Fax (715) 273-0344

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X2326 (WI)

Adolescent and Children Mental Health Clinic/Center: 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.

About NPI 1306965033

Northwest Journey - Ellsworth's National Provider Identifier is 1306965033, issued on Mar 27, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Ellsworth, WI. The record was last updated on Sep 23, 2010.