| 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 |