# DISTRICT 19 COMMUNITY SERVICE BOARD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124347885
- **Authorized official:** MRS. ELEANOR WILKINS YATES (LPN)
- **Authorized official phone:** (804) 541-1829

## Contact information

- **Practice address:** 1308 LEMONWOOD DR, HOPEWELL, VA 23860-7619
- **Practice address phone:** (804) 541-1829
- **Mailing address:** 1308 LEMONWOOD DR, HOPEWELL, VA 23860-7619
- **Mailing address phone:** (804) 541-1829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 0002044952 | VA | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 0002044952 | VA | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 05/20/2010