Organization · Type 2 NPI
Northwest Passage Ltd
Emotionally Disturbed Childrens' Residential Treatment Facility · Webster, WI
Practice location
7818 Moline Road
Webster, WI 54893-8545
Fax (715) 866-8374
Mailing address
203 United Way Drive
Frederic, WI 54837-8938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 560014 (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.
About NPI 1639294168
Northwest Passage Ltd's National Provider Identifier is 1639294168, issued on Mar 21, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Webster, WI. The record was last updated on Mar 27, 2012.