| NPI | 1699161745 |
|---|---|
| Other Name | DESCHUTES WILDERNESS THERAPY |
| Doing Business As | NEW VISION WILDERNESS |
| Entity Type | Organization |
| Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
| 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 | 2025-04-14 |