Organization
DOMINION ABA
Active
Parent organization
DOMINION YOUTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOMINION YOUTH SERVICES
Authorized official
MRS. WENDALYN BELTON-BROWN LCSW (PROGRAM DIRECTOR)
(804) 516-4834
Entity
Organization
Contact information
Practice address
5400 BYRDHILL RD, RICHMOND, VA 23228-5807
(804) 516-4834
Mailing address
5400 BYRDHILL RD, RICHMOND, VA 23228-5807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0134000134
VA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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