Organization
TEEN OPTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A JOHN BAMISILE (CEO)
(804) 745-8070
Entity
Organization
Contact information
Practice address
6721 GILLS GATE CT, CHESTERFIELD, VA 23832-6005
(804) 745-8070
(804) 745-7554
Mailing address
6432 ELKHARDT RD, RICHMOND, VA 23225-7819
(804) 745-8070
(804) 745-7554
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1528-14-001
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
1528-14-002
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1528-14-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1528-14-002
VA
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up