Organization · Type 2 NPI
Ola Home for Boys, LLC
Mental Illness Community Based Residential Treatment Facility · Richmond, VA
NPI number
1407939655
Active
Practice location
1802 N 22nd St
Richmond, VA 23223-4434
Fax (804) 343-5153
Mailing address
PO Box 2074
Mechanicsville, VA 23116-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 0021836400 (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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About NPI 1407939655
Ola Home for Boys, LLC's National Provider Identifier is 1407939655, issued on Oct 23, 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 22, 2020.