Organization
CREATIVE YOUTH CONCEPTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUO VADIS D FORD (PRESIDENT)
(804) 525-4101
Entity
Organization
Contact information
Practice address
2007 BROOK RD, RICHMOND, VA 23220-1807
(804) 525-4101
(804) 525-4102
Mailing address
2007 BROOK RD, RICHMOND, VA 23220-1807
(804) 525-4101
(804) 525-4102
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2008
Last updated
04/13/2015
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