| NPI | 1295392389 |
|---|---|
| Doing Business As | WILDERNESS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NANCY M HUSSAR Owner 540-755-7157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-24 |