Organization
B.R.I.C.K. HOUSE YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE INGRAM MURPHY (OWNER)
(804) 397-9205
Entity
Organization
Contact information
Practice address
6504 VARINA STATION DR, HENRICO, VA 23231-5218
(804) 658-2258
(804) 658-5968
Mailing address
PO BOX 7793, HENRICO, VA 23231-0293
(804) 658-2258
(804) 658-5968
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
05/06/2008
Last updated
07/09/2009
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