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Hampton Roads Youth Center
Emotionally Disturbed Childrens' Residential Treatment Facility in Suffolk, Virginia
NPI 1104006055

Hampton Roads Youth Center is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Suffolk, VA. Hampton Roads Youth Center practices in Suffolk, VA. The NPI Number for Hampton Roads Youth Center is 1104006055 and holds a License No. SS-241-06 (Virginia).

The current practice location address for Hampton Roads Youth Center is 275 Kenyon Rd, Suffolk, VA and can be reached out via phone at 757-923-4948 and via fax at 757-923-4949. You can also correspond with Hampton Roads Youth Center through the mailing address at 275 KENYON RD, SUFFOLK, VA - 23434-7450 (mailing address contact number: 757-923-4948).

Location: 275 Kenyon Rd, Suffolk, VA, 23434-7450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104006055
Provider Name
Hampton Roads Youth Center
Credential
Provider Entity Type
Organization
Address
275 Kenyon Rd, Suffolk, VA, 23434-7450
Phone Number
757-923-4948
Fax Number
757-923-4949
Provider Enumeration Date
11/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
275 Kenyon Rd
City
Suffolk
State
Virginia
Zip
23434-7450
Phone Number
757-923-4948
Fax Number
757-923-4949
person
Provider Business Mailing Address Details
Address
275 Kenyon Rd
City
Suffolk
State
Virginia
Zip
23434-7450
Phone Number
757-923-4948
Fax Number
757-923-4949
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
SS-241-06 (Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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