| Northwest Journey - Wisconsin Rapids Day Treatm | |
|
110 24th St S Wisconsin Rapids WI 54494-1906 | |
| (715) 424-5040 | |
| (715) 424-5720 |
| Full Name | Northwest Journey - Wisconsin Rapids Day Treatm |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 110 24th St S, Wisconsin Rapids, Wisconsin |
| Authorized Official Name and Position | Nick Kalambokidis (CFO) |
| Authorized Official Contact | 17153274402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Journey - Wisconsin Rapids Day Treatm 110 24th St S Wisconsin Rapids WI 54494-1906 Ph: (715) 424-5040 | Northwest Journey - Wisconsin Rapids Day Treatm 110 24th St S Wisconsin Rapids WI 54494-1906 Ph: (715) 424-5040 |
| NPI Number | 1669599288 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669599288 | NPI | - | NPPES |
| 85575 | Other | MN | PREFERRED ONE |
| 43006100 | Medicaid | WI | |
| 42626 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2291 (Wisconsin) | Primary |
Opportunity Development Centers, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1191 Huntington Ave, Wisconsin Rapids, WI 54494 Phone: 715-424-2750 | |
Cline Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7151 Evergreen Ave, Wisconsin Rapids, WI 54494 Phone: 920-454-0314 | |
Michael Jan Nelson Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Rebecca D Bean Behrend Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Daly Ave, #1, Wisconsin Rapids, WI 54494 Phone: 715-423-2030 Fax: 715-423-2032 | |
Central Wisconsin Counseling Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 W Grand Ave, Suite 304a, Wisconsin Rapids, WI 54495 Phone: 715-424-6960 Fax: 715-424-6963 | |
Rebecca D Bean Behrend Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Daly Ave, #1, Wisconsin Rapids, WI 54494 Phone: 175-423-2030 Fax: 715-423-2032 | |
Northwest Counseling And Guidance Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 24th St S, Wisconsin Rapids, WI 54494 Phone: 715-424-5040 Fax: 715-424-5720 |