Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominion Youth Services

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1952562811

Dominion Youth Services is a Mental Illness Community Based Residential Treatment Facility in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008

Practice location Address checks out

4802 Northridge Ln
Roanoke, VA 24019
Phone: (540) 366-3080
Fax: (540) 366-3081
Show map & directions

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 40614077 (VA)

Record details

NPI number1952562811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gl Pulliam — Director Of Residential · (804) 285-9838
Other names Dominion Youth Services Residential
NPI enumeratedJune 23, 2008
Last updated in NPPESJune 23, 2008
Mailing address8401 Mayland Drive, Suite C, Richmond, VA 23294

Other providers in Roanoke