Impact Youth Services, Llc

NPI 1285801928 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1285801928
Enumeration Date 05/12/2008
Last Updated 09/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DEBBIE LOUREEN DEBBIE
Position CHIEF ADMINISTRATIVE OFFICER
Phone (804) 301-9624
Fax (804) 454-0243
Practice Location
6725 CASEY SAVANNAH LN
RICHMOND VA, 23234-8013, US
Phone (804) 301-9624
Fax (804) 454-0243
Business Location
14507 GLENMORGAN DR
CHESTER VA, 23831-6638, US
Phone (804) 301-9624
Fax (804) 454-0243
Toxanomy
Taxonomy Code 320800000X
License State Virginia
License Number 88314001
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According to our database, Impact Youth Services, Llc NPI is 1285801928, taxonomy code is 320800000X and license number is 88314001, license state is located at Virginia. Impact Youth Services, Llc physically located at 6725 Casey Savannah Ln, Richmond VA, 23234-8013. NPI Number 1033115704 has the healthcare provider type.

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1285801928 NPI number is provided on an as is basis without warranty of any kind. 1285801928 is maintained by the National Plan & Provider Enumeration System. The contents of Impact Youth Services, Llc are for informational purposes only.