STRUCTURES YOUTH HOME INC NPI 1528228079

NPI Information

STRUCTURES YOUTH HOME INC is a community based residential treatment facility mental illness in Fredericksburg, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. STRUCTURES YOUTH HOME INC NPI is 1528228079. The provider is registered as an organization entity type.

The provider's business location address is:

646 HOLLY CORNER RD
FREDERICKSBURG, VA
ZIP 22406-308
Phone: (540) 752-0013
Fax: (540) 752-1147

The provider's authorized official is Kathleen Ann Fitzsimmons .
The authorized official title is Cao/clinical Director and has the following contact phone number (540) 663-0574.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.

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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