| NPI | 1285322628 |
|---|---|
| Doing Business As | WILD OAKS |
| Entity Type | Organization |
| Authorized Contact | CARRIE WALKER Practice Owner 804-592-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133V00000X Dietitian, Registered | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-11-08 |