NPI 1285759035

Northwest Passage - Northwest Passage II

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Spooner, WI

Practice location

Address: 1661 Hams Rd, Spooner, WI 54801-9138
Phone: (715) 635-7204

Authorised official

Name: Mark Elliot
Title: Program Director
Phone: (715) 327-4402

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1004165 (WI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wisconsin →

Registry record

NPI: 1285759035
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.