# IMAGINATION LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871099721
- **Authorized official:** MS. MONICA BOLTON (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (804) 402-1356

## Contact information

- **Practice address:** 318 N WILKINSON RD, RICHMOND, VA 23227-1631
- **Practice address phone:** (804) 716-0593
- **Practice address fax:** (804) 330-6698
- **Mailing address:** PO BOX 28586, HENRICO, VA 23228-8586
- **Mailing address phone:** (804) 716-0593
- **Mailing address fax:** (804) 330-6698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 3189-14-008 | VA | Yes |

## Other

- **Enumeration date:** 03/31/2018
- **Last updated:** 03/31/2018