Whalio Doctors

NPI 1952549875

Youth Odyssey INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ruidoso, NM

Practice location

Address
605 White Mountain Meadows Dr, Ruidoso, NM 88345-5816
Phone
(877) 834-4430
Fax
(575) 258-3907
Mailing address
PO Box 1065, Ruidoso, NM 88355-1065

Authorised official

Name
Jon Robert Worbets
Title
Executive Director
Phone
(877) 834-4430

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 4737 (NM)

Registry record

NPI
1952549875
Entity type
Organization
NPI issued
30 Jan 2009
Record last updated
30 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.