| NPI | 1790143667 |
|---|---|
| Doing Business As | NORTHWEST JOURNEY - NORTHERN LIGHTS |
| Entity Type | Organization |
| Authorized Contact | JACKIE MAURER Office Supervisor 715-349-7069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-03-21 |