| Diamonds In The Rough Youth And Family Services, Inc. | |
|
4901 Fitzhugh Ave., Ste. 200 Richmond VA 23230-3531 | |
| (804) 213-0140 | |
| (804) 213-0143 |
| Full Name | Diamonds In The Rough Youth And Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4901 Fitzhugh Ave., Ste. 200, Richmond, Virginia |
| Authorized Official Name and Position | Stephanie Lynn Dixon (ADMINISTRATOR) |
| Authorized Official Contact | 8042130140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamonds In The Rough Youth And Family Services, Inc. P O Box 6386 Richmond VA 23230-3531 Ph: (804) 213-0140 | Diamonds In The Rough Youth And Family Services, Inc. 4901 Fitzhugh Ave., Ste. 200 Richmond VA 23230-3531 Ph: (804) 213-0140 |
| NPI Number | 1376728949 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 05/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376728949 | NPI | - | NPPES |
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