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Annzetta's Therapeutic Home For Boys, Llc
Mental Illness Community Based Residential Treatment Facility in Petersburg, Virginia
NPI 1063609659

Annzetta's Therapeutic Home For Boys, Llc is a Mental Illness Community Based Residential Treatment Facility based in Petersburg, VA. Annzetta's Therapeutic Home For Boys, Llc practices in Petersburg, VA. The NPI Number for Annzetta's Therapeutic Home For Boys, Llc is 1063609659 and holds a License No. (Virginia).

The current practice location address for Annzetta's Therapeutic Home For Boys, Llc is 1834 Buckner St, Petersburg, VA and can be reached out via phone at 804-863-2661.

Location: 1834 Buckner St, Petersburg, VA, 23805-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063609659
Provider Name
Annzetta's Therapeutic Home For Boys, Llc
Credential
Provider Entity Type
Organization
Address
1834 Buckner St, Petersburg, VA, 23805-1705
Phone Number
804-863-2661
Fax Number
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1834 Buckner St
City
Petersburg
State
Virginia
Zip
23805-1705
Phone Number
804-863-2661
Fax Number
person
Provider Business Mailing Address Details
Address
1834 Buckner St
City
Petersburg
State
Virginia
Zip
23805-1705
Phone Number
804-863-2661
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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