Organization · Type 2 NPI

Virginia Home for Boys and Girls

Mental Illness Community Based Residential Treatment Facility · Richmond, VA

NPI number 1265677934 Active

Practice location

2250 Pump Rd
Richmond, VA 23233-3508

Call (804) 447-3527 Map

Fax (804) 447-3960

Mailing address

8716 W Broad St
Richmond, VA 23294-6209

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility	320800000X	SS-78-07 (VA)
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	1438-14-001 (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.

Other mental illness community based residential treatment facility providers in Richmond

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NPI record

NPI: 1265677934
Entity type: Organization (Type 2)
Issued: Dec 10, 2008
Last updated: Sep 12, 2013
Status: Active

Other names

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Virginia Home for Boys · former legal business name

Authorized official

Mr. John Burgett Dougherty, M.S.W.
SVP/chief Administrative Officer
(804) 270-6566

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265677934

Virginia Home for Boys and Girls's National Provider Identifier is 1265677934, issued on Dec 10, 2008. 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 Sep 12, 2013.