Back 2 Basics, LLC

NPI #1225200827 in Richmond, Virginia

Provider Information

NPI Number: 1225200827
Entity Type: Organization
Organization Name: Back 2 Basics, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 24, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 3808 CANDLEGROVE CT
City: Richmond
State: Virginia
ZIP Code: 23223-1440
Phone: (804) 228-2230

Authorized Official

Name: MRS. SHIRLETTA PATRICE HIGHSMITH
Title: OWNER/PROGRAM DIRECTOR
Phone: (804) 326-9430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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