| Youth Development Counseling Agency | |
|
5209 Nine Mile Rd Richmond VA 23223-3313 | |
| (804) 252-4118 | |
| (804) 200-5561 |
| Full Name | Youth Development Counseling Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5209 Nine Mile Rd, Richmond, Virginia |
| Authorized Official Name and Position | Michael Mostafa Abdelmagid (CEO) |
| Authorized Official Contact | 8042524118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Development Counseling Agency 5209 Nine Mile Rd Richmond VA 23223-3313 Ph: (804) 252-4118 | Youth Development Counseling Agency 5209 Nine Mile Rd Richmond VA 23223-3313 Ph: (804) 252-4118 |
| NPI Number | 1215288071 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215288071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1492 (Virginia) | Primary |
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