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 |