Organization
YOUTH EXPERIENCING SUCCESS, INC.
Active
Parent organization
YOUTH EXPERIENCING SUCCESS, INC.
Other names
Trading as T/A Dot's Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUTH EXPERIENCING SUCCESS, INC.
Authorized official
MISS VERONICA HICKS L. HICKS M.S. (CHIEF EXECUTIVE OFFICER OWNER)
(804) 329-5200
Entity
Organization
Contact information
Practice address
2804 2ND AVENUE, RICHMOND, VA 23222-3909
(804) 329-5200
(804) 329-5202
Mailing address
2804 2ND AVENUE, RICHMOND, VA 23222-3909
(804) 329-5200
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
SS-04-07
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SS-04-07
VA
Other
Enumeration date
10/04/2006
Last updated
08/07/2007
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