Northwest Journey - Ellsworth

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1306965033

Northwest Journey - Ellsworth is an Adolescent and Children Mental Health Clinic/Center in Ellsworth, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in: WI
In the registry since: 2007

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Practice location Address checks out

N6096 530th St
Ellsworth, WI 54011-5107
Phone: (715) 273-0203
Fax: (715) 273-0344

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary)	Taxonomy 261QM0855X · Licence 2326 (WI)

Record details

NPI number	1306965033
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Northwest Counseling and Guidance Clinic
Authorized official	Nick Kalambokidis — Cfo · (715) 327-4402
NPI enumerated	March 27, 2007
Last updated in NPPES	September 23, 2010
Mailing address	N6096 530th St, Ellsworth, WI 54011-5107