| Village Youth And Family Services | |
|
564 Siena Ln Glen Allen VA 23059-1115 | |
| (804) 551-7363 | |
| Not Available |
| Full Name | Village Youth And Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 564 Siena Ln, Glen Allen, Virginia |
| Authorized Official Name and Position | Khidhra S Smith (CEO/ CLINICIAL DIRECTOR) |
| Authorized Official Contact | 8045517363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Youth And Family Services 564 Siena Lane Glen Allen VA 23059 Ph: (804) 551-7363 | Village Youth And Family Services 564 Siena Ln Glen Allen VA 23059-1115 Ph: (804) 551-7363 |
| NPI Number | 1164844635 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164844635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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