Whalio Doctors

NPI 1225200827

Back 2 Basics, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Richmond, VA

Practice location

Address
3808 Candlegrove CT, Richmond, VA 23223-1440
Phone
(804) 228-2230

Authorised official

Name
Shirletta Patrice Highsmith
Title
Owner/Program Director
Phone
(804) 326-9430

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence SS376/4051-07 (VA)

Registry record

NPI
1225200827
Entity type
Organization
NPI issued
24 Mar 2008
Record last updated
3 Jun 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.