DOMINION YOUTH SERVICES NPI 1245369750

NPI Information

DOMINION YOUTH SERVICES is a community based residential treatment facility mental illness in Richmond, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DOMINION YOUTH SERVICES NPI is 1245369750. The provider is registered as an organization entity type.
The provider Is Doing Business As Dominion Youth Services Residential Llc.

The provider's business location address is:

2407 DUMBARTON RD
RICHMOND, VA
ZIP 23228-909
Phone: (804) 553-0595
Fax: (804) 553-0596

The provider's authorized official is Gl Pulliam .
The authorized official title is Director Of Residential and has the following contact phone number (804) 285-9838.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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