| Ezett Youth & Family Services | |
|
209 Elsing Green Way Highland Springs VA 23075-2455 | |
| (804) 252-9391 | |
| Not Available |
| Full Name | Ezett Youth & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 209 Elsing Green Way, Highland Springs, Virginia |
| Authorized Official Name and Position | Ami Williams (DIRECTOR OF SERVICES) |
| Authorized Official Contact | 8042529391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezett Youth & Family Services Po Box 201 Henrico VA 23075-0201 Ph: () - | Ezett Youth & Family Services 209 Elsing Green Way Highland Springs VA 23075-2455 Ph: (804) 252-9391 |
| NPI Number | 1437401403 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437401403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1592 (Virginia) | Primary |
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