Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Passage Ltd

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1235266065

Northwest Passage Ltd is an Emotionally Disturbed Childrens' Residential Treatment Facility in Frederic, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 United Way Dr
Frederic, WI 54837-8938
Phone: (715) 327-4402
Fax: (715) 327-4470
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 560014 (WI)

Record details

NPI number1235266065
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthwest Passage
Authorized official Jackie Maurer — Business Office Supervisor · (715) 327-4322
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMarch 27, 2012
Mailing address203 United Way Drive, Frederic, WI 54837-8938