NPI 1730404963

Youth and Family Dynamics Inhome Services 2

Organisation Health Maintenance Organization Henrico, VA

Practice location

Address: 5741 S Laburnum Ave, Henrico, VA 23231-4431
Phone: (804) 501-9440
Mailing address: 1733 First Colonial CT, Henrico, VA 23231-6892

Authorised official

Name: Allen F Jackson
Title: Ceo
Phone: (804) 501-9440

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1162 (VA)

Other Health Maintenance Organization providers in Virginia →

Registry record

NPI: 1730404963
Entity type: Organization
NPI issued: 31 Mar 2010
Record last updated: 3 Dec 2013

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.