Strong Foundation Youth Initiative, LLC

NPI #1023188620 in Richmond, Virginia

Provider Information

NPI Number: 1023188620
Entity Type: Organization
Organization Name: Strong Foundation Youth Initiative, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 9, 2006
Last Updated: Oct 29, 2008

Practice Location

Address: 6001 LAKESIDE AVE
Address 2: SUITE 20
City: Richmond
State: Virginia
ZIP Code: 23228-5735
Phone: (804) 283-6194

Authorized Official

Name: MR. ROBERT LESLIE ASHFORD, B.S., QMHP
Title: OWNER
Phone: (804) 283-6194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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