Organization
ADVANCED SERVICES FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE K MCCLURE (CHIEF EXECUTIVE OFFICER)
(540) 290-9039
Entity
Organization
Contact information
Practice address
1809 LESUER RD, RICHMOND, VA 23229-4220
(804) 332-5966
(804) 332-5347
Mailing address
1809 LESUER RD, RICHMOND, VA 23229-4220
(804) 332-5966
(804) 332-5347
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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