| NPI | 1275762700 |
|---|---|
| Former Legal Business Name | VIRGINIA WILDERNESS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | OTELIA REBECCA ENGLAND Executive Director 276-498-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA CO-437-09) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA CO-437-09) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2010-09-15 |