NORTHWEST PASSAGE LTD
Residential Treatment Facilities in Clam Falls, WI

License number
Wisconsin 560014
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
Owner
Name: JACKIE J MAURER
Title: BUSINESS OFFICE SUPERVISOR
Phone: (715) 327-4322
Address
Address
203 United Way Dr, Clam Falls, WI 54837
National Provider ID: 1235266065
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHWEST PASSAGE, LIMITED

203 United Way, Frederic, WI 54837

Industry:
Residential Care Services Specialty Outpatient Clinic, Specialty Outpatient Clinic
Doing business as:
Northwest Passage Ltd<br>Northwest Pssage Child Adlsnce
Registration:
Jul 25, 1978
Phone:
(715) 327-4402 (Phone)
State ID:
6N07930
Business type:
Non-Stock Corporation
Presidents:
Jackie J. Maurer (Business Office Supervisor),Mark Elliot Manager, Director, Program Director, inactive,Dennisom Tucker President, inactive

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