NPI | 1952549875 |
---|---|
Doing Business As | WILDERNESS ODYSSEY |
Entity Type | Organization |
Authorized Contact | JON ROBERT WORBETS Executive Director 877-834-4430 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM 4737) |
Enumeration Date | 2009-01-30 |
Last Update Date | 2009-01-30 |