Organization · Type 2 NPI

MBHS of Kenbridge, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Kenbridge, VA

NPI number 1972940880 Active

Practice location

231 Hickory Rd
Kenbridge, VA 23944-3503

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center	261QM0855X	2139 (VA)
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	2136-14-001 (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.

3 other providers at this address

NPI record

NPI: 1972940880
Entity type: Organization (Type 2)
Issued: May 31, 2013
Last updated: Jun 6, 2013
Status: Active
Subpart: Yes of Meridian Behavioral Health Systems

Other names

<unavail>
Kenbridge Youth Academy · doing business as

Authorized official

Patricia Hamilton
Chief Administrative Officer
(454) 676-1378

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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 1972940880

MBHS of Kenbridge, LLC's National Provider Identifier is 1972940880, issued on May 31, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Kenbridge, VA. The record was last updated on Jun 6, 2013.