Boundless Potential LLC
NPI #1598803124 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1598803124
- Entity Type
- Organization
- Organization Name
- Boundless Potential LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOUNDLESS POTENTIAL LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Feb 4, 2007
- Last Updated
- Aug 4, 2008
Practice Location
- Address
- 1005 TELEGRAPH STATION LN
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-4006
- Phone
- (804) 864-9001
Authorized Official
- Name
- MRS. DEBORAH MALONE RALPH, LCSW
- Title
- DIRECTOR OF CLINICAL SERVICES
- Phone
- (804) 901-3122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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