NPI 1134383102

The Guardian Light

Organisation Mental Illness Community Based Residential Treatment Facility Glen Allen, VA

Practice location

Address: 2101 Mountain Run Dr, Glen Allen, VA 23060-2261
Phone: (804) 475-3344

Authorised official

Name: Janice Marie Bailey
Title: Administrator
Phone: (804) 475-3344

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence CLO-08-1104074 (VA)

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

Registry record

NPI: 1134383102
Entity type: Organization
NPI issued: 17 Jul 2008
Record last updated: 17 Jul 2008

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.