NPI 1023187200
Professional Youth Services
Practice location
- Address
- 4136 Woodfield Rd, Richmond, VA 23234-3450
- Phone
- (804) 674-4456
- Fax
- (804) 674-4458
- Mailing address
- 7206 Hull Street Rd Suite 102a, Richmond, VA 23235-5827
Authorised official
- Name
- Jemarn Bernard Thorpe
- Title
- Cheif Executive Officer
- Phone
- (804) 674-4460
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023187200
- Entity type
- Organization
- NPI issued
- 6 Nov 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.