Organization · Type 2 NPI
Youth Diversity Coalition, L.l.c.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Richmond, VA
Practice location
2916 Valley Side Ter
Richmond, VA 23223-1163
Fax (804) 228-1843
Mailing address
8025 Hillcreek Dr
Midlothian, VA 23112-6847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | S8-04-20 (VA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1154448496
Youth Diversity Coalition, L.l.c.'s National Provider Identifier is 1154448496, issued on Mar 23, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Richmond, VA. The record was last updated on Aug 22, 2020.