institution
Virginia Commonwealth University Health System Authority
Emotionally Disturbed Childrens' Residential Treatment Facility in Richmond, Virginia
NPI 1275690976

Virginia Commonwealth University Health System Authority is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Baltimore, VA. Virginia Commonwealth University Health System Authority practices in Richmond, VA. The NPI Number for Virginia Commonwealth University Health System Authority is 1275690976 and holds a License No. H1875 (Virginia).

The current practice location address for Virginia Commonwealth University Health System Authority is 1308 Sherwood Ave, Richmond, VA and can be reached out via phone at 804-628-6643 and via fax at 804-828-2029.

Location: 1308 Sherwood Ave, Richmond, VA, 21275-0001
institution
Provider Profile Details
NPI Number
1275690976
Provider Name
Virginia Commonwealth University Health System Authority
Credential
Provider Entity Type
Organization
Address
1308 Sherwood Ave, Richmond, VA, 21275-0001
Phone Number
804-628-6643
Fax Number
804-828-2029
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207063 05 VA
institution
Provider Business Practice Location Address Details
Address
1308 Sherwood Ave
City
State
Zip
23220
Phone Number
804-628-6643
Fax Number
804-828-2029
person
Provider Business Mailing Address Details
Address
1308 Sherwood Ave
City
State
Zip
23220
Phone Number
804-628-6643
Fax Number
804-828-2029
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
H1875 (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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