| Virginia Youth Outreach Services, Inc. | |
|
1012 W 3rd St Ste D Farmville VA 23901-3070 | |
| (804) 484-5539 | |
| Not Available |
| Full Name | Virginia Youth Outreach Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1012 W 3rd St Ste D, Farmville, Virginia |
| Authorized Official Name and Position | Randy Redd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8044845539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Youth Outreach Services, Inc. Po Box 13751 Richmond VA 23901-8751 Ph: (804) 484-5539 | Virginia Youth Outreach Services, Inc. 1012 W 3rd St Ste D Farmville VA 23901-3070 Ph: (804) 484-5539 |
| NPI Number | 1508161175 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508161175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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