Haven Youth Services Llc in Richmond - Community Based Residential Treatment Facility, Mental Illness
Haven Youth Services Llc - NPI 1073673869
Haven Youth Services Llc is a Community Based Residential Treatment Facility, Mental Illness in Richmond, Virginia. Haven Youth Services Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Haven Youth Services Llc is 1073673869. The last update date is 2020-08-22.
Haven Youth Services Llc's current location address is 3122 W Marshall St, Richmond, Virginia. You can contact this provider via phone number 8043405220 and fax number 8043405222. The mailing address for Haven Youth Services Llc is 3122 W Marshall St, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Haven Youth Services Llc |
|---|---|
| Address | 3122 W Marshall St, Richmond, Virginia |
| Phone Number | 8043405220 |
| Fax Number | 8043405222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Callis Darrel |
| Telephone Number | 8048332879 |
NPI Number Detail
| NPI Number | 1073673869 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3122 W Marshall St |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232304726 |
| Phone Number | 8043405220 |
| Fax Number | 8043405222 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | SS18205 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identification code assigned to Haven Youth Services Llc by the Centers for Medicare & Medicaid Services?
The Haven Youth Services Llc has been issued the NPI (National Provider Identifier) 1073673869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Haven Youth Services Llc?
The Haven Youth Services Llc is physically situated at 3122 W Marshall St, in the city of Richmond, state of VA, with the postal code 232304726.
What is Haven Youth Services Llc's area of expertise and its corresponding taxonomy classification?
The Haven Youth Services Llc's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
When did Haven Youth Services Llc receive its 1073673869 assignment?
The Haven Youth Services Llc was assigned its 1073673869 on 2006-12-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Haven Youth Services Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Haven Youth Services Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.