institution
Boundless Potential, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Richmond, Virginia
NPI 1679601280

Boundless Potential, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Richmond, VA. Boundless Potential, Llc practices in Richmond, VA. The NPI Number for Boundless Potential, Llc is 1679601280 and holds a License No. 287-2006 (Virginia).

The current practice location address for Boundless Potential, Llc is 10204 Spinning Wheel Way, Richmond, VA and can be reached out via phone at 804-864-9001 and via fax at 804-864-9002.

Location: 10204 Spinning Wheel Way, Richmond, VA, 23227-0638
institution
Provider Profile Details
NPI Number
1679601280
Provider Name
Boundless Potential, Llc
Credential
Provider Entity Type
Organization
Address
10204 Spinning Wheel Way, Richmond, VA, 23227-0638
Phone Number
804-864-9001
Fax Number
804-864-9002
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008907757 05 VA
008907759 05 VA
00010231159 05 VA
institution
Provider Business Practice Location Address Details
Address
10204 Spinning Wheel Way
City
State
Zip
23233
Phone Number
804-864-9001
Fax Number
804-864-9002
person
Provider Business Mailing Address Details
Address
10204 Spinning Wheel Way
City
State
Zip
23233
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
License No.
287-2006 (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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