Organization · Type 2 NPI

Dominion Youth Services

Mental Illness Community Based Residential Treatment Facility · Richmond, VA

NPI number 1407993777 Active

Practice location

2419 Fon Du Lac Rd
Richmond, VA 23229

Call (804) 440-7074 Map

Fax (804) 440-7075

Mailing address

PO Box 70296
Richmond, VA 23255-0296

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X406-14-001 (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.

2 other providers at this address

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About NPI 1407993777

Dominion Youth Services's National Provider Identifier is 1407993777, issued on Jan 30, 2007. 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.