Organization
SECOND CHANCE FOR YOUTH, LLC
Active
Organization
SECOND CHANCE FOR YOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDY BARKINS (CHEIF ADMINISTRATIVE OFFICER)
(804) 665-6726
Entity
Organization
Contact information
Practice address
6207 SHADOWBROOK DR, RICHMOND, VA 23231-4745
(804) 665-6726
Mailing address
6207 SHADOWBROOK DR, RICHMOND, VA 23231-4745
(804) 665-6726
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1059 14-001
VA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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