Structures Youth Home INC
NPI #1528228079 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1528228079
- Entity Type
- Organization
- Organization Name
- Structures Youth Home INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 9, 2008
- Last Updated
- Jun 9, 2008
Practice Location
- Address
- 646 HOLLY CORNER RD
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22406-5308
- Phone
- (540) 752-0013
Authorized Official
- Name
- DR. KATHLEEN ANN FITZSIMMONS, PSY.D
- Title
- CAO/CLINICAL DIRECTOR
- Phone
- (540) 663-0574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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