| Building A Better Youth Llc | |
|
43 Rives Rd Ste 7 Petersburg VA 23805-9255 | |
| (804) 590-4524 | |
| Not Available |
| Full Name | Building A Better Youth Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43 Rives Rd Ste 7, Petersburg, Virginia |
| Authorized Official Name and Position | Kolvin Drayton (OWNER) |
| Authorized Official Contact | 8045904524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building A Better Youth Llc 43 Rives Rd Ste 7 Petersburg VA 23805-9255 Ph: (804) 590-4524 | Building A Better Youth Llc 43 Rives Rd Ste 7 Petersburg VA 23805-9255 Ph: (804) 590-4524 |
| NPI Number | 1972216372 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 01/01/2023 |
| Certification Date | 01/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972216372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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