NPI 1124107966

Starting Point

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Glen Allen, VA

Practice location

Address: 10556 Courtney Rd, Glen Allen, VA 23060-3011
Phone: (804) 756-0159
Fax: (804) 756-0159

Authorised official

Name: Jackie C. Woodley
Title: Program Director
Phone: (804) 756-0159

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Virginia →

Registry record

NPI: 1124107966
Entity type: Organization
NPI issued: 3 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.