Organization
IMPACT YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBBIE LOUREEN CADET PH. D (CHIEF ADMINISTRATIVE OFFICER)
(804) 301-9624
Entity
Organization
Contact information
Practice address
6725 CASEY SAVANNAH LN, RICHMOND, VA 23234-8013
(804) 301-9624
(804) 454-0243
Mailing address
14507 GLENMORGAN DR, CHESTER, VA 23831-6638
(804) 301-9624
(804) 454-0243
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
88314001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
88314001
VA
Other
Enumeration date
05/12/2008
Last updated
09/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us