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Organization
STRONG FOUNDATION YOUTH INITIATIVE, LLC
Active
Organization
STRONG FOUNDATION YOUTH INITIATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LESLIE ASHFORD B.S., QMHP (OWNER)
(804) 283-6194
Entity
Organization
Contact information
Practice address
6001 LAKESIDE AVE, SUITE 20, RICHMOND, VA 23228-5735
(804) 283-6194
Mailing address
6001 LAKESIDE AVE, SUITE 20, RICHMOND, VA 23228-5735
(804) 283-6194
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
806
VA
Other
Enumeration date
11/09/2006
Last updated
10/29/2008
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