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Organization
OPTIMUM YOUTH SERVICES LLC
Active
Organization
OPTIMUM YOUTH SERVICES LLC
Active
Other names
Gabrielle's House
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BRATHWAITE (CHIEF ADMINISTRATIVE OFFICER)
(804) 525-8069
Entity
Organization
Contact information
Practice address
725 S PROVIDENCE RD, NORTH CHESTERFIELD, VA 23236-3337
(804) 525-4069
Mailing address
10524 BRIGHTSTONE DR, MIDLOTHIAN, VA 23112-1570
(804) 986-8392
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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