Organization
STRONG FOUNDATION YOUTH INITIATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LESLIE ASHFORD B.S., QMHP (OWNER)
(804) 283-6194
Entity
Organization
Contact information
Practice address
6001 LAKESIDE AVE, SUITE 20, RICHMOND, VA 23228-5735
(804) 283-6194
Mailing address
6001 LAKESIDE AVE, SUITE 20, RICHMOND, VA 23228-5735
(804) 283-6194
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
806
VA
Other
Enumeration date
11/09/2006
Last updated
10/29/2008
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