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Organization

MBHS OF KENBRIDGE, LLC

Active
Parent organization
MERIDIAN BEHAVIORAL HEALTH SYSTEMS
Other names
Kenbridge Youth Academy
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERIDIAN BEHAVIORAL HEALTH SYSTEMS
Authorized official
PATRICIA HAMILTON (CHIEF ADMINISTRATIVE OFFICER)
(454) 676-1378
Entity
Organization

Contact information

Practice address
231 HICKORY RD, KENBRIDGE, VA 23944-3503
(454) 676-1378
Mailing address
231 HICKORY RD, KENBRIDGE, VA 23944-3503
(454) 676-1378

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2139
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2136-14-001
VA

Other

Enumeration date
05/31/2013
Last updated
06/06/2013
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