# BOUNDLESS POTENTIAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sister's Place Group Home II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679601280
- **Authorized official:** MRS. DEBORAH MALONE RALPH L.C.S.W. (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (804) 901-3122

## Contact information

- **Practice address:** 10204 SPINNING WHEEL WAY, RICHMOND, VA 23233
- **Practice address phone:** (804) 864-9001
- **Practice address fax:** (804) 864-9002
- **Mailing address:** P.O. BOX 15238, RICHMOND, VA 23227-0638
- **Mailing address phone:** (804) 290-0216
- **Mailing address fax:** (804) 290-0427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 287-2006 | VA | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/07/2008