Organization
YOUTH EXCEL AND ADVANCEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ONEAL HASKETT SR. BA, SOCIOLOGY (OWNER)
(804) 986-7036
Entity
Organization
Contact information
Practice address
4222 BONNIEBANK RD, SUITE 101, RICHMOND, VA 23234-6602
(804) 986-7036
(804) 303-8657
Mailing address
4222 BONNIEBANK RD STE 101, RICHMOND, VA 23234-6633
(804) 986-7036
(804) 303-8657
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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