Organization · Type 2 NPI

Williamsville Wellness PHP

Psychiatric Residential Treatment Facility · Hanover, VA

NPI number 1871965301 Active

Practice location

10515 Cabaniss Ln
Hanover, VA 23069-1840

Fax (804) 559-9613

Specialties and licenses

Taxonomy	Code	License
Psychiatric Residential Treatment Facility Primary	323P00000X	994 (VA)

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

5 other providers at this address

NPI record

NPI: 1871965301
Entity type: Organization (Type 2)
Issued: Oct 23, 2015
Last updated: Oct 23, 2015
Status: Active
Subpart: Yes of Williamsville Wellness, LLC

Other names

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Williamsville Wellness Center · other name

Authorized official

Mr. Robert Woodrow Cabaniss
Executive Director
(804) 559-9959

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871965301

Williamsville Wellness PHP's National Provider Identifier is 1871965301, issued on Oct 23, 2015. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Hanover, VA. The record was last updated on Oct 23, 2015.