Provider Demographics
NPI:1386853265
Name:NORTHWEST ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NORTHWEST ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAPPUIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:406-827-4344
Mailing Address - Street 1:PO BOX 1509
Mailing Address - Street 2:
Mailing Address - City:THOMPSON FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59873-1509
Mailing Address - Country:US
Mailing Address - Phone:406-827-4344
Mailing Address - Fax:406-827-5100
Practice Address - Street 1:76 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:THOMPSON FALLS
Practice Address - State:MT
Practice Address - Zip Code:59873-9432
Practice Address - Country:US
Practice Address - Phone:406-827-4344
Practice Address - Fax:406-827-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty