Dominion Youth Services Residential Llc
LBN: Dominion Youth Services
Dominion Youth Services Residential Llc is an health care organization with primary practice located at 2407 Dumbarton Rd , Richmond VA 23228-5909. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Dominion Youth Services can be contacted via phone (804) 553-0595, or through Pulliam, Gl via phone (804) 285-9838.
Contact Information
Primary practice address
2407 Dumbarton Rd
Richmond VA 23228-5909
Phone: (804) 553-0595
Fax: (804) 553-0596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | SS-284-06 | Virginia |
Profile Details
| NPI number | 1245369750 |
|---|---|
| LBN Legal business name | Dominion Youth Services |
| DBA Doing business as | Dominion Youth Services Residential Llc |
| Authorized official | Pulliam, Gl MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245369750 | NPPES |
| Virginia | Other | SS-284-06 | DSS LICENSE |
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