Organization
NVW NEWCO, LLC
Active
Parent organization
NVW NEWCO, LLC
Other names
First Light Wilderness Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NVW NEWCO, LLC
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization
Contact information
Practice address
889 WIMPY MILL RD, DAHLONEGA, GA 30533-0492
(706) 960-9132
(706) 538-4331
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132
(706) 538-4331
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
04/14/2025
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