Organization
NDUTIME YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TESHANA DENISE HENDERSON LCSW (ASSOCIATE DIRECTOR)
(804) 303-8393
Entity
Organization
Contact information
Practice address
4500 RICHMOND HENRICO TPKE, RICHMOND, VA 23222-1346
(804) 308-1652
(804) 308-1653
Mailing address
PO BOX 15808, RICHMOND, VA 23227-5808
(804) 303-8393
(804) 303-8398
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
758-14-002
VA
Other
Enumeration date
10/22/2006
Last updated
08/22/2020
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