Organization · Type 2 NPI
Spain Residential Program
Mental Illness Community Based Residential Treatment Facility · Henrico, VA
NPI number
1710209150
Active
Practice location
5941 Almond Tree Ter
Henrico, VA 23231-4789
Fax (866) 383-5281
Mailing address
2916 Chamberlayne Ave
Richmond, VA 23222-3506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | CO-435-10 (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 1710209150
Spain Residential Program's National Provider Identifier is 1710209150, issued on Feb 26, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Henrico, VA. The record was last updated on Feb 26, 2010.