Organization · Type 2 NPI

Dominion Youth Services

Mental Illness Community Based Residential Treatment Facility · Roanoke, VA

NPI number 1952562811 Active

Practice location

4802 Northridge Lane
Roanoke, VA 24019

Fax (540) 366-3081

Mailing address

8401 Mayland Drive, Suite C
Richmond, VA 23294

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X40614077 (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 1952562811

Dominion Youth Services's National Provider Identifier is 1952562811, issued on Jun 23, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Roanoke, VA. The record was last updated on Jun 23, 2008.