Organization
VIRGINIA BAPTIST CHILDREN'S HOME & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W.. RICHERSON D.MIN. (PRESIDENT & EXECUTIVE DIRECTOR)
(540) 389-5468
Entity
Organization
Contact information
Practice address
860 MOUNT VERNON LN, SALEM, VA 24153-2700
(540) 387-5024
(540) 444-4681
Mailing address
860 MOUNT VERNON LN, SALEM, VA 24153-2700
(540) 387-5024
(540) 444-4681
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
229-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945263
—
VA
05
—
004946847
—
VA
05
—
004947011
—
VA
05
—
004948076
—
VA
05
—
004948165
—
VA
05
—
004949986
—
VA
05
—
010291518
—
VA
Enumeration date
11/21/2006
Last updated
07/15/2008
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