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Organization
AMIKIDS VIRGINIA WILDERNESS
Active
Organization
AMIKIDS VIRGINIA WILDERNESS
Active
Other names
Virginia Wilderness Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OTELIA REBECCA ENGLAND M.ED. (EXECUTIVE DIRECTOR)
(276) 498-7032
Entity
Organization
Contact information
Practice address
3477 WILDERNESS ROAD, OAKWOOD, VA 24631
(276) 498-7032
(276) 498-4863
Mailing address
PO BOX 613, OAKWOOD, VA 24631-0613
(276) 498-7032
(276) 498-4863
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
CO-437-09
VA
323P00000X
Psychiatric Residential Treatment Facility
Primary
CO-437-09
VA
Other
Enumeration date
07/06/2009
Last updated
09/15/2010
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