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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up