Organization
TYLALO, LLC
Active
Other names
Healthy Solutions for Youth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN L. THORNTON (CAO)
(804) 467-9860
Entity
Organization
Contact information
Practice address
9195 CUDLIPP AVE, MECHANICSVILLE, VA 23116-2654
(804) 730-2819
(804) 730-2819
Mailing address
1905 PARMA RD, RICHMOND, VA 23229-4147
(804) 467-9860
(804) 747-4940
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CO-405-08
VA
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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