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Organization
NVW NEWCO, LLC
Active
Organization
NVW NEWCO, LLC
Active
Other names
Deschutes Wilderness Therapy, New Vision Wilderness
Organization subpart
No
Provider details
NPI number
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization
Contact information
Practice address
160 SCALEHOUSE LOOP, SUITE 160, BEND, OR 97702-1284
(541) 312-4316
(541) 312-4350
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
0222
OR
323P00000X
Psychiatric Residential Treatment Facility
Primary
0222
OR
Other
Enumeration date
04/15/2015
Last updated
04/14/2025
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