Hamlet House Youth Services, III LLC

NPI #1366790107 in Highland Springs, Virginia

Provider Information

NPI Number
1366790107
Entity Type
Organization
Organization Name
Hamlet House Youth Services, III LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 28, 2012
Last Updated
Aug 28, 2012

Practice Location

Address
206 CARLSTONE DR
ZIP Code
23075-2503
Phone
(804) 326-9046

Authorized Official

Name
MRS. GWENDOLYN SCURLOCK INGRAM
Title
CHIEF ADMINISTRATIVE OFFICE
Phone
(804) 326-9046

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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