WILLIAMSVILLE WELLNESS PHP NPI 1871965301

NPI Details

WILLIAMSVILLE WELLNESS PHP is a psychiatric residential treatment facility in Hanover, VA. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary WILLIAMSVILLE WELLNESS PHP NPI is 1871965301. The provider is registered as an organization entity type.
The provider Other Name Is Williamsville Wellness Center.

The provider's business location address is:

10515 CABANISS LN
HANOVER, VA
ZIP 23069-840
Phone: (804) 559-9959
Fax: (804) 559-9613

The provider's authorized official is Robert Woodrow Cabaniss .
The authorized official title is Executive Director and has the following contact phone number (804) 559-9959.

The enumeration date for this NPI number is 10/23/2015 and was last updated on 10/23/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.