Dominion Youth Services
Dominion Youth Services is a Mental Illness Community Based Residential Treatment Facility in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
Practice location Address checks out
2419 Fon Du Lac RdRichmond, VA 23229
Phone: (804) 440-7074
Fax: (804) 440-7075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 406-14-001 (VA) |
|---|
Record details
| NPI number | 1407993777 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gl Pulliam — Director Of Residential · (804) 285-9838 |
| Other names | Dominion Youth Services Residential Llc |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 70296, Richmond, VA 23255-0296 |
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