Organization · Type 2 NPI

Boundless Potential, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA

NPI number 1679601280 Active

Practice location

10204 Spinning Wheel Way
Richmond, VA 23233

Fax (804) 864-9002

Mailing address

P.o. Box 15238
Richmond, VA 23227-0638

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X287-2006 (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 1679601280

Boundless Potential, LLC's National Provider Identifier is 1679601280, issued on Mar 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 Aug 7, 2008.