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Organization
YOUTH ODYSSEY INC.
Active
Organization
YOUTH ODYSSEY INC.
Active
Other names
Wilderness Odyssey
Organization subpart
No
Provider details
NPI number
Authorized official
JON ROBERT WORBETS LPCC (EXECUTIVE DIRECTOR)
(877) 834-4430
Entity
Organization
Contact information
Practice address
605 WHITE MOUNTAIN MEADOWS DR, RUIDOSO, NM 88345-5816
(877) 834-4430
(575) 258-3907
Mailing address
PO BOX 1065, RUIDOSO, NM 88355-1065
(877) 834-4430
(575) 258-3907
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
4737
NM
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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