# ALC YOUTH & FAMILY SERVICES, LLC

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

## Provider details

- **NPI number:** 1538507983
- **Authorized official:** MR. MARQUISE LONNELL ROSE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (804) 833-6399

## Contact information

- **Practice address:** 14200 KENTWOOD FOREST DR, CHESTER, VA 23831-8029
- **Practice address phone:** (804) 454-0125
- **Mailing address:** 1124 S WEDGEMONT DR, NORTH CHESTERFIELD, VA 23236-4811
- **Mailing address phone:** (804) 833-6399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2248-14-001 | VA | Yes |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 06/07/2013