NPI 1154448496

Youth Diversity Coalition, L.L.C.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Richmond, VA

Practice location

Address: 2916 Valley Side Ter, Richmond, VA 23223-1163
Phone: (804) 228-3729
Fax: (804) 228-1843
Mailing address: 8025 Hillcreek Dr, Midlothian, VA 23112-6847

Authorised official

Name: Deborah Fisher
Title: C.A.O
Phone: (804) 228-3729

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence S8-04-20 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1154448496
Entity type: Organization
NPI issued: 23 Mar 2007
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.