| NPI | 1295224657 |
|---|---|
| Doing Business As | NORTHWEST JOURNEY-GREEN BAY |
| Entity Type | Organization |
| Authorized Contact | JACKIE MAURER Office Supervisor 715-349-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 3197) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |