# BOUNDLESS POTENTIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOUNDLESS POTENTIAL LLC
- **Other names:** SISTER'S PLACE GROUP HOME I
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598803124
- **Legal business name:** BOUNDLESS POTENTIAL LLC
- **Authorized official:** MRS. DEBORAH MALONE RALPH LCSW (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (804) 901-3122

## Contact information

- **Practice address:** 1005 TELEGRAPH STATION LN, GLEN ALLEN, VA 23060-4006
- **Practice address phone:** (804) 864-9001
- **Practice address fax:** (804) 864-9002
- **Mailing address:** PO BOX 15238, RICHMOND, VA 23227-0638
- **Mailing address phone:** (804) 261-5577
- **Mailing address fax:** (804) 261-5574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SS-04-09 | VA | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SS-212-07 | VA | — |

## Other

- **Enumeration date:** 02/04/2007
- **Last updated:** 08/04/2008