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Boundless Potential Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Glen Allen, Virginia
NPI 1598803124

Boundless Potential Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Richmond, VA. Boundless Potential Llc practices in Glen Allen, VA. The NPI Number for Boundless Potential Llc is 1598803124 and holds a License No. SS-04-09 (Virginia).

The current practice location address for Boundless Potential Llc is 1005 Telegraph Station Ln, Glen Allen, VA and can be reached out via phone at 804-864-9001 and via fax at 804-864-9002.

Location: 1005 Telegraph Station Ln, Glen Allen, VA, 23227-0638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598803124
Provider Name
Boundless Potential Llc
Credential
Provider Entity Type
Organization
Address
1005 Telegraph Station Ln, Glen Allen, VA, 23227-0638
Phone Number
804-864-9001
Fax Number
804-864-9002
Provider Enumeration Date
02/04/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00010231159 05 VA
008907757 05 VA
institution
Provider Business Practice Location Address Details
Address
1005 Telegraph Station Ln
City
Glen Allen
State
Virginia
Zip
23060-4006
Phone Number
804-864-9001
Fax Number
804-864-9002
person
Provider Business Mailing Address Details
Address
1005 Telegraph Station Ln
City
Glen Allen
State
Virginia
Zip
23060-4006
Phone Number
804-864-9001
Fax Number
804-864-9002
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
SS-04-09 (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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