Organization · Type 2 NPI

Virginia Commonwealth University Health System Authority

Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA

NPI number 1275690976 Active

Practice location

1308 Sherwood Ave
Richmond, VA 23220

Call (804) 628-6643 Map

Fax (804) 828-2029

Mailing address

PO Box 758997
Baltimore, MD 21275-0001

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XH1875 (VA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1275690976

Virginia Commonwealth University Health System Authority's National Provider Identifier is 1275690976, issued on Jan 2, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Richmond, VA. The record was last updated on Jun 11, 2018.