| Northwest Journey - Rhinelander | |
|
221 Fifth Street Eagle River WI 54521 | |
| (715) 365-9735 | |
| (888) 226-8713 |
| Full Name | Northwest Journey - Rhinelander |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 221 Fifth Street, Eagle River, Wisconsin |
| Authorized Official Name and Position | Justin Coveau (CFO) |
| Authorized Official Contact | 7153277112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Journey - Rhinelander Po Box 309 Siren WI 54872-0309 Ph: (715) 327-7112 | Northwest Journey - Rhinelander 221 Fifth Street Eagle River WI 54521 Ph: (715) 365-9735 |
| NPI Number | 1801308218 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801308218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Wisconsin) | Primary |
Starlight Centers For Inclusion Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Enterprise Way, Eagle River, WI 54521 Phone: 608-317-6711 |