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YOUTH DIVERSITY COALTION NPI 1992977797


NPI Information

NPI: 1992977797
Provider Name: YOUTH DIVERSITY COALTION
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
8025 HILLCREEK DR
MIDLOTHIAN, VA
ZIP 23112
Phone: (703) 371-0946
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YOUTH DIVERSITY COALTION is a community based residential treatment facility mental illness in Midlothian, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. YOUTH DIVERSITY COALTION NPI is 1992977797. The provider is registered as an organization entity type.

The provider's business location address is:

8025 HILLCREEK DR
MIDLOTHIAN, VA
ZIP 23112-847
Phone: (703) 371-0946

The provider's authorized official is Allana Jeffries Taylor .
The authorized official title is Administrator and has the following contact phone number (703) 371-0946.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessSS22307VIRGINIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.