Professional Youth Services

NPI 1023187200 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1023187200
Enumeration Date 11/06/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEMARN BERNARD JEMARN
Position CHEIF EXECUTIVE OFFICER
Phone (804) 674-4456
Fax (804) 674-4458
Practice Location
4136 WOODFIELD RD
RICHMOND VA, 23234-3450, US
Phone (804) 674-4456
Fax (804) 674-4458
Business Location
7206 HULL STREET RD
SUITE 102A
RICHMOND VA, 23235-5827, US
Phone (804) 674-4460
Fax (804) 674-4480
Toxanomy
Taxonomy Code 320800000X
License State
License Number
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According to our database, Professional Youth Services NPI is 1023187200, taxonomy code is 320800000X Professional Youth Services physically located at 4136 Woodfield Rd, Richmond VA, 23234-3450. NPI Number 1033115704 has the healthcare provider type.

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1023187200 NPI number is provided on an as is basis without warranty of any kind. 1023187200 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Youth Services are for informational purposes only.