| NPI | 1770985467 |
|---|---|
| Doing Business As | NORTHWEST JOURNEY |
| Entity Type | Organization |
| Authorized Contact | JACKIE J MAURER Billing Office Supervisor 715-327-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 3049) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2015-01-15 |