NPI 1073673869

Haven Youth Services LLC

Organisation Mental Illness Community Based Residential Treatment Facility Richmond, VA

Practice location

Address: 3122 W Marshall St, Richmond, VA 23230-4726
Phone: (804) 340-5220
Fax: (804) 340-5222

Authorised official

Name: Darrel Callis
Title: Owner
Phone: (804) 833-2879

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence SS18205 (VA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Virginia →

Registry record

NPI: 1073673869
Entity type: Organization
NPI issued: 11 Dec 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.