# NVW NEWCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deschutes Wilderness Therapy, New Vision Wilderness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699161745
- **Authorized official:** SHARNELL SPENCER (CREDENTIALING MANAGER)
- **Authorized official phone:** (661) 239-6923

## Contact information

- **Practice address:** 160 SCALEHOUSE LOOP, SUITE 160, BEND, OR 97702-1284
- **Practice address phone:** (541) 312-4316
- **Practice address fax:** (541) 312-4350
- **Mailing address:** 5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
- **Mailing address phone:** (661) 622-4132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0222 | OR | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 0222 | OR | Yes |

## Other

- **Enumeration date:** 04/15/2015
- **Last updated:** 04/14/2025
