Individual provider · Type 1 NPI

Charles Small

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Glen Allen, VA

NPI number 1740131903 Active

Practice location

10712 Toston Ln
Glen Allen, VA 23060-6496

Fax (804) 252-5482

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X16459-08-013 (VA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

3 other providers at this address

About NPI 1740131903

Charles Small's National Provider Identifier is 1740131903, issued on Feb 4, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Glen Allen, VA. The record was last updated on Feb 4, 2026.