| From The Ground Up Youth Services Llc | |
|
9510 Stockbridge Dr Richmond VA 23228-1223 | |
| (804) 503-0466 | |
| (804) 440-0727 |
| Full Name | From The Ground Up Youth Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9510 Stockbridge Dr, Richmond, Virginia |
| Authorized Official Name and Position | Janine Keyuni Jackson (DIRECTOR) |
| Authorized Official Contact | 8045030466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| From The Ground Up Youth Services Llc 9510 Stockbridge Dr Richmond VA 23228-1223 Ph: () - | From The Ground Up Youth Services Llc 9510 Stockbridge Dr Richmond VA 23228-1223 Ph: (804) 503-0466 |
| NPI Number | 1972773133 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972773133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1168 (Virginia) | Primary |
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