Organization
YOUTH BUILDERS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINAL MITSHAW GOODWYN (OWNER)
(804) 467-8510
Entity
Organization
Contact information
Practice address
3909 HOPKINS CT, RICHMOND, VA 23234-2000
(804) 467-8510
Mailing address
3909 HOPKINS CT, RICHMOND, VA 23234-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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