YOUTH AND FAMILY DYNAMICS INHOME SERVICES 2

HENRICO, VA
NPI1730404963
Former Legal Business NameYOUTH AND FAMILY DYNAMAICS DAY TREATMENT SUPPORT
Entity TypeOrganization
Authorized ContactALLEN F JACKSON
CEO
804-501-9440
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: VA  1162)
Enumeration Date2010-03-31
Last Update Date2013-12-03
Business Address
YOUTH AND FAMILY DYNAMICS INHOME SERVICES 2
5741 S LABURNUM AVE
HENRICO, VA 23231-4431
Phone number: 804-501-9440
Mailing Address
YOUTH AND FAMILY DYNAMICS INHOME SERVICES 2
1733 FIRST COLONIAL CT
HENRICO, VA 23231-6892
Phone number: 804-501-9440