Organization
DOMINION ABA
Active
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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