Organization
EMPOWERING YOU FOR POSITIVE CHANGE
Active
Organization
EMPOWERING YOU FOR POSITIVE CHANGE
Active
Parent organization
EMPOWERING YOUTH FOR POSITIVE CHANGE
Other names
Empowering YOU for Positive Change
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPOWERING YOUTH FOR POSITIVE CHANGE
Authorized official
DOROTHY GREEN (COMPLIANCE MANAGER)
(804) 965-3497
Entity
Organization
Contact information
Practice address
5649 S LABURNUM AVE, RICHMOND, VA 23231-4418
(804) 789-1314
(804) 789-1314
Mailing address
5649 S LABURNUM AVE, HENRICO, VA 23231-4418
(804) 789-1314
(804) 482-3767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473114954
—
VA
Enumeration date
11/03/2011
Last updated
05/21/2026
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