IMPACT YOUTH SERVICES LLC NPI 1285801928

NPI Information

IMPACT YOUTH SERVICES, LLC 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. IMPACT YOUTH SERVICES, LLC NPI is 1285801928. The provider is registered as an organization entity type.

The provider's business location address is:

6725 CASEY SAVANNAH LN
RICHMOND, VA
ZIP 23234-013
Phone: (804) 301-9624
Fax: (804) 454-0243

The provider's authorized official is Debbie Loureen Cadet .
The authorized official title is Chief Administrative Officer and has the following contact phone number (804) 301-9624.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 9/24/2008.

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:

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