OrganizationActive
Northwest Passage Ltd
NPI 1235266065 · Emotionally Disturbed Childrens' Residential Treatment Facility · Frederic, WI
Provider details
- NPI number
- 1235266065
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Northwest Passage
- Organization subpart
- Yes
- Authorized official
- Jackie Maurer, Business Office Supervisor(715) 327-4322
- License
- 560014 (WI)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 United Way Drive
Frederic, WI 54837-8938
Phone: (715) 327-4402
Fax: (715) 327-4470
Street-level locationGet directions
Mailing address
203 United Way Drive
Frederic, WI 54837-8938
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.