Dominion Youth Services Residential Llc

LBN: Dominion Youth Services
Dominion Youth Services Residential Llc is an health care organization with primary practice located at 7002 Dallas Rd , Roanoke VA 24019-1510. 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 (540) 366-5073, or through Pulliam, Gl via phone (804) 285-9838.

Contact Information

Primary practice address
7002 Dallas Rd Roanoke VA 24019-1510
Phone: (540) 366-5073
Fax: (540) 366-5074
Website:
Map and Directions
Authorized official contact:
Name: Pulliam, Gl MS
Phone: (804) 285-9838

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 406-14-004 Virginia

Profile Details

NPI number 1811180458
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 Aug 27th, 2007
Last updated Aug 27th, 2007 - about 17 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.

Request for update

Popular Providers