Organization · Type 2 NPI
Structures Youth Home Inc
Mental Illness Community Based Residential Treatment Facility · Fredericksburg, VA
NPI number
1528228079
Active
Practice location
646 Holly Corner Rd
Fredericksburg, VA 22406-5308
Fax (540) 752-1147
Mailing address
PO Box 149
Dahlgren, VA 22448-0149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | SS-149-05 (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 1528228079
Structures Youth Home Inc's National Provider Identifier is 1528228079, issued on Jun 9, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jun 9, 2008.