Organization
SECURE HAVEN YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON LYNN PULLIAM (OWNER)
(804) 562-7316
Entity
Organization
Contact information
Practice address
1706 HUNGARY RD, RICHMOND, VA 23228-2335
(804) 562-7316
Mailing address
1706 HUNGARY RD, RICHMOND, VA 23228
(804) 562-7316
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-390469208
VA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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