Organization
GENERATION X-CEL YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAROME ANTOINE KENNEY (CEO)
(804) 257-5539
Entity
Organization
Contact information
Practice address
5024 BRYANBELL LN, RICHMOND, VA 23234-8004
(804) 279-8995
(804) 279-8996
Mailing address
3122 W MARSHALL ST, SUITE 206, RICHMOND, VA 23230-4726
(804) 257-5539
(804) 257-5444
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
349-14-002
VA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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