NPI 1568790178
Teen Option, INC.
Practice location
- Address
- 6721 Gills Gate CT, Chesterfield, VA 23832-6005
- Phone
- (804) 745-8070
- Fax
- (804) 745-7554
- Mailing address
- 6432 Elkhardt Rd, Richmond, VA 23225-7819
Authorised official
- Name
- A John Bamisile
- Title
- Ceo
- Phone
- (804) 745-8070
Registered specialties (4)
Mental Illness Community Based Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1568790178
- Entity type
- Organization
- NPI issued
- 20 Nov 2009
- Record last updated
- 20 Nov 2009
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.