Organization
NDUTIME YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TESHANA DENISE HENDERSON LCSW (CHIEF ADMINISTRATIVE OFFICER)
(804) 303-8393
Entity
Organization
Contact information
Practice address
511 W GRACE ST, RICHMOND, VA 23220-4911
(804) 303-8393
(804) 303-8398
Mailing address
511 W GRACE ST, RICHMOND, VA 23220-4911
(804) 303-8393
(804) 303-8398
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
758
VA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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