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Organization

YOUTH IMPACT MENTAL HEALTH COMPANY

Active
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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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