Organization · Type 2 NPI

Youth Experiencing Success, Inc.

Mental Illness Community Based Residential Treatment Facility · Richmond, VA

NPI number 1164517157 Active

Practice location

2804 2nd Avenue
Richmond, VA 23222-3909

Fax (804) 329-5202

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	SS-04-07 (VA)
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	SS-04-07 (VA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1164517157
Entity type: Organization (Type 2)
Issued: Oct 4, 2006
Last updated: Aug 7, 2007
Status: Active
Subpart: Yes of Youth Experiencing Success, Inc.

Other names

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Trading As T/a Dot's Place · doing business as

Authorized official

Miss Veronica Hicks L. Hicks, M.S.
Chief Executive Officer Owner
(804) 329-5200

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About NPI 1164517157

Youth Experiencing Success, Inc.'s National Provider Identifier is 1164517157, issued on Oct 4, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Richmond, VA. The record was last updated on Aug 7, 2007.