Organization · Type 2 NPI

Impact Youth Services, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Richmond, VA

NPI number 1285801928 Active

Practice location

6725 Casey Savannah Ln
Richmond, VA 23234-8013

Call (804) 301-9624 Map

Fax (804) 454-0243

Mailing address

14507 Glenmorgan Dr
Chester, VA 23831-6638

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000X88314001 (VA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X88314001 (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 1285801928

Impact Youth Services, LLC's National Provider Identifier is 1285801928, issued on May 12, 2008. 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 Sep 24, 2008.