# OPTIMUM YOUTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gabrielle's House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821609942
- **Authorized official:** MONICA BRATHWAITE (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (804) 525-8069

## Contact information

- **Practice address:** 725 S PROVIDENCE RD, NORTH CHESTERFIELD, VA 23236-3337
- **Practice address phone:** (804) 525-4069
- **Mailing address:** 10524 BRIGHTSTONE DR, MIDLOTHIAN, VA 23112-1570
- **Mailing address phone:** (804) 986-8392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2020
- **Last updated:** 08/12/2020