NPI | 1699161745 |
---|---|
Other Name | DESCHUTES WILDERNESS THERAPY |
Doing Business As | NEW VISION WILDERNESS |
Entity Type | Organization |
Authorized Contact | LAURA J BROWN VP Of Revenue Cycle Management 661-829-4060 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OR 0222) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 0222) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2023-06-20 |