NPI | 1285322628 |
---|---|
Doing Business As | WILD OAKS |
Entity Type | Organization |
Authorized Contact | CARRIE WALKER Practice Owner 804-592-6311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-04-25 |
Last Update Date | 2025-02-05 |