NPI 1619654746

All Behavior Changes

Organisation Physical Disabilities Residential Treatment Facility Midlothian, VA

Practice location

Address: 13609 Quail Hollow Ln, Midlothian, VA 23112-4454
Phone: (804) 704-0973
Mailing address: 17012 Honeybush Ln Moseley, VA 23120, Moseley, VA 23120

Authorised official

Name: Damara Meadows
Title: Executive Director
Phone: (804) 704-0973

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Virginia →

Registry record

NPI: 1619654746
Entity type: Organization
NPI issued: 30 Jun 2023
Record last updated: 21 Nov 2023

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.