Child And Family Guidance

LBN: Specialized Youth Services Of Va, Inc
Child And Family Guidance is an health care organization with primary practice located at 230 S Crater Rd , Petersburg VA 23803-4424. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Specialized Youth Services Of Va, Inc can be contacted via phone (804) 733-2180, or through Bull, Warren Gibson via phone (804) 733-2180.

Contact Information

Primary practice address
230 S Crater Rd Petersburg VA 23803-4424
Fax: (804) 733-8502
Website:
Authorized official contact:
Name: Bull, Warren Gibson CEO

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 328 Virginia

Profile Details

NPI number 1366513715
LBN Legal business name Specialized Youth Services Of Va, Inc
DBA Doing business as Child And Family Guidance
Authorized official Bull, Warren Gibson CEO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 1st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366513715 NPPES
Virginia MEDICAID 010026725
Virginia MEDICAID 010048621

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