Specialized Youth Services Of Va, Inc
LBN: Specialized Youth Services Of Va, Inc
Specialized Youth Services Of Va, Inc is an health care organization with primary practice located at 230 S Crater Rd , Petersburg VA 23803-4424. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Specialized Youth Services Of Va, Inc can be contacted via phone (804) 733-2180, or through Bull, Warren G via phone (804) 733-2180.
Contact Information
Primary practice address
230 S Crater Rd
Petersburg VA 23803-4424
Phone: (804) 733-2180
Fax: (804) 733-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1811022361 |
|---|---|
| LBN Legal business name | Specialized Youth Services Of Va, Inc |
| DBA Doing business as | |
| Authorized official | Bull, Warren G CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Oct 15th, 2007 - about 18 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 | 1811022361 | NPPES |
| Virginia | Other | 1780872101 | NPI |
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