Organization
YOUTH RESIDENTIAL SERVICES OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ALEXANDER PARSON JR. (CEO)
(804) 230-4760
Entity
Organization
Contact information
Practice address
7303 HULL STREET RD, RICHMOND, VA 23235-5805
(804) 230-4760
(804) 230-4766
Mailing address
PO BOX 74100, RICHMOND, VA 23236-0002
(804) 230-4760
(804) 230-4766
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
601-02-014
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
601-14-003
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
601-14-005
VA
Other
Enumeration date
01/25/2010
Last updated
02/12/2010
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