# MBHS OF KENBRIDGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERIDIAN BEHAVIORAL HEALTH SYSTEMS
- **Other names:** Kenbridge Youth Academy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972940880
- **Legal business name:** MERIDIAN BEHAVIORAL HEALTH SYSTEMS
- **Authorized official:** PATRICIA HAMILTON (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (454) 676-1378

## Contact information

- **Practice address:** 231 HICKORY RD, KENBRIDGE, VA 23944-3503
- **Practice address phone:** (454) 676-1378
- **Mailing address:** 231 HICKORY RD, KENBRIDGE, VA 23944-3503
- **Mailing address phone:** (454) 676-1378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2139 | VA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2136-14-001 | VA | Yes |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 06/06/2013