| NPI | 1699161745 |
|---|---|
| Other Name | DESCHUTES WILDERNESS THERAPY |
| 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 |