Organization
YOUTH DEVELOPMENT COUNSELING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND LAMONT CHERRY (CHAIRMAN)
(804) 350-7070
Entity
Organization
Contact information
Practice address
1516 N 30TH ST, RICHMOND, VA 23223-5344
(804) 252-4118
Mailing address
1516 N 30TH ST, RICHMOND, VA 23223-5344
(804) 252-4118
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
149205001
VA
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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