WILDERNESS ODYSSEY – NPI #1952549875
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
WILDERNESS ODYSSEY is a residential treatment facility located in RUIDOSO, NM. NPPES has assigned the NPI number 1952549875 to WILDERNESS ODYSSEY on January 30, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILDERNESS ODYSSEY” is a dba name, the actual legal business name for this organization is YOUTH ODYSSEY INC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILDERNESS ODYSSEY below.
NPI Profile for
YOUTH ODYSSEY INC.
(more than 17 years ago)
RUIDOSO, NM 88345-5816 Phone: (877) 834-4430 Fax: (575) 258-3907
RUIDOSO, NM 88355-1065 Phone: (877) 834-4430 Fax: (575) 258-3907
EXECUTIVE DIRECTOR
Phone: (877) 834-4430
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
NM | 4737 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.