Dominion Youth Services in Richmond - Community Based Residential Treatment Facility, Mental Illness
Dominion Youth Services - NPI 1407993777
Dominion Youth Services is a Community Based Residential Treatment Facility, Mental Illness in Richmond, Virginia. Dominion Youth Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Dominion Youth Services is 1407993777. The last update date is 2020-08-22.
Dominion Youth Services's current location address is 2419 Fon Du Lac Rd, Richmond, Virginia. You can contact this provider via phone number 8044407074 and fax number 8044407075. The mailing address for Dominion Youth Services is 2419 Fon Du Lac Rd, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dominion Youth Services |
|---|---|
| Address | 2419 Fon Du Lac Rd, Richmond, Virginia |
| Phone Number | 8044407074 |
| Fax Number | 8044407075 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Pulliam Gl |
| Credentials | MS |
| Telephone Number | 8042859838 |
NPI Number Detail
| NPI Number | 1407993777 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2419 Fon Du Lac Rd |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232290 |
| Phone Number | 8044407074 |
| Fax Number | 8044407075 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 406-14-001 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the Dominion Youth Services's unique identification number?
The Dominion Youth Services has been assigned the NPI (National Provider Identifier) Number 1407993777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Dominion Youth Services's physical address?
The Dominion Youth Services is physically located at 2419 Fon Du Lac Rd, in the city of Richmond, VA, with the postal code 232290.
What is Dominion Youth Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dominion Youth Services is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.
When did Dominion Youth Services receive its 1407993777 assignment?
The Dominion Youth Services was assigned its 1407993777 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
When was the information related to Dominion Youth Services most recently updated or refreshed?
The details pertaining to the Dominion Youth Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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