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Tylalo, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Mechanicsville, Virginia
NPI 1841436599

Tylalo, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Richmond, VA. Tylalo, Llc practices in Mechanicsville, VA. The NPI Number for Tylalo, Llc is 1841436599 and holds a License No. CO-405-08 (Virginia).

The current practice location address for Tylalo, Llc is 9195 Cudlipp Ave, Mechanicsville, VA and can be reached out via phone at 804-730-2819 and via fax at 804-730-2819.

Location: 9195 Cudlipp Ave, Mechanicsville, VA, 23229-4147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841436599
Provider Name
Tylalo, Llc
Credential
Provider Entity Type
Organization
Address
9195 Cudlipp Ave, Mechanicsville, VA, 23229-4147
Phone Number
804-730-2819
Fax Number
804-730-2819
Provider Enumeration Date
12/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9195 Cudlipp Ave
City
Mechanicsville
State
Virginia
Zip
23116-2654
Phone Number
804-730-2819
Fax Number
804-730-2819
person
Provider Business Mailing Address Details
Address
9195 Cudlipp Ave
City
Mechanicsville
State
Virginia
Zip
23116-2654
Phone Number
804-730-2819
Fax Number
804-730-2819
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
CO-405-08 (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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