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YOUTH DIVERSITY COALITION L.L.C. NPI 1154448496


NPI Information

NPI: 1154448496
Provider Name: YOUTH DIVERSITY COALITION, L.L.C.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2916 VALLEY SIDE TER
RICHMOND, VA
ZIP 23223
Phone: (804) 228-3729
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YOUTH DIVERSITY COALITION, L.L.C. is a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. YOUTH DIVERSITY COALITION, L.L.C. NPI is 1154448496. The provider is registered as an organization entity type.

The provider's business location address is:

2916 VALLEY SIDE TER
RICHMOND, VA
ZIP 23223-163
Phone: (804) 228-3729
Fax: (804) 228-1843

The provider's authorized official is Deborah Fisher .
The authorized official title is C.a.o and has the following contact phone number (804) 228-3729.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesS8-04-20VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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