Organization
YOUTH IMPACT MENTAL HEALTH COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS WOODS JR. QMHP (OWNER - CEO)
(804) 307-4660
Entity
Organization
Contact information
Practice address
14918 LITTON DR, MIDLOTHIAN, VA 23112-4765
(804) 307-4660
Mailing address
10221 KRAUSE RD UNIT 81, CHESTERFIELD, VA 23832-1204
(804) 307-4660
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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