Specialized Youth Services Of Va, Inc in Petersburg - Professional

Specialized Youth Services Of Va, Inc - NPI 1811022361

Specialized Youth Services Of Va, Inc is a Professional in Petersburg, Virginia. Specialized Youth Services Of Va, Inc practices all healthcare services and medical treatments related to Professional. The NPI Number for Specialized Youth Services Of Va, Inc is 1811022361. The last update date is 2007-10-15.

Specialized Youth Services Of Va, Inc's current location address is 230 S Crater Rd, Petersburg, Virginia. You can contact this provider via phone number 8047332180 and fax number 8047338502. The mailing address for Specialized Youth Services Of Va, Inc is 230 S Crater Rd, Petersburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Specialized Youth Services Of Va, Inc
Address 230 S Crater Rd, Petersburg, Virginia
Phone Number 8047332180
Fax Number 8047338502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bull G Warren
Credentials CEO
Telephone Number 8047332180

NPI Number Detail

NPI Number 1811022361
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 230 S Crater Rd
City Petersburg
State Virginia (VA)
Post Code 238034424
Phone Number 8047332180
Fax Number 8047338502

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1780872101 VA NPI

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FAQs about Specialized Youth Services Of Va, Inc

What is the Specialized Youth Services Of Va, Inc's 1811022361?

The Specialized Youth Services Of Va, Inc's NPI (National Provider Identifier) Number is 1811022361. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Specialized Youth Services Of Va, Inc is located?

The Specialized Youth Services Of Va, Inc is situated at the following address: 230 S Crater Rd, Petersburg, VA, 238034424.

What is Specialized Youth Services Of Va, Inc's area of expertise and its corresponding taxonomy classification?

The Specialized Youth Services Of Va, Inc's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.

When did Specialized Youth Services Of Va, Inc receive its 1811022361 assignment?

The Specialized Youth Services Of Va, Inc was assigned its 1811022361 on 2007-02-23, which is the date when this unique identifier was issued to the organization.

When was the information regarding Specialized Youth Services Of Va, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Specialized Youth Services Of Va, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-15.

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