Organization
PURSUE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DAVIS (COO)
(804) 322-7795
Entity
Organization
Contact information
Practice address
2712 POPLAR HAVEN CT, RICHMOND, VA 23223-2171
(804) 243-5658
(804) 773-4449
Mailing address
2712 POPLAR HAVEN CT, RICHMOND, VA 23223-2171
(804) 243-5658
(804) 773-4449
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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