Organization
YOUTH OF PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYMMOLLOTKIS ALICIA YANCEY (PRESIDENT)
(540) 445-1381
Entity
Organization
Contact information
Practice address
6308 HOT SPRING LN, FREDERICKSBURG, VA 22407-2577
(540) 322-7751
Mailing address
6308 HOT SPRING LN, FREDERICKSBURG, VA 22407-2577
(540) 322-7751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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