| Creative Youth Concepts Inc. | |
|
2007 Brook Rd Richmond VA 23220-1807 | |
| (804) 525-4101 | |
| (804) 525-4102 |
| Full Name | Creative Youth Concepts Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2007 Brook Rd, Richmond, Virginia |
| Authorized Official Name and Position | Quo Vadis D Ford (PRESIDENT) |
| Authorized Official Contact | 8045254101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Youth Concepts Inc. 2007 Brook Rd Richmond VA 23220-1807 Ph: (804) 525-4101 | Creative Youth Concepts Inc. 2007 Brook Rd Richmond VA 23220-1807 Ph: (804) 525-4101 |
| NPI Number | 1760655310 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760655310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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