Provider Demographics
NPI:1093826109
Name:ADOLESCENT AND FAMILY INSTITUTE, INC.
Entity Type:Organization
Organization Name:ADOLESCENT AND FAMILY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:757-466-0946
Mailing Address - Street 1:142 W YORK ST STE 308
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2047
Mailing Address - Country:US
Mailing Address - Phone:757-466-0946
Mailing Address - Fax:757-466-0947
Practice Address - Street 1:142 W YORK ST
Practice Address - Street 2:SUITE 402
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2015
Practice Address - Country:US
Practice Address - Phone:757-466-0946
Practice Address - Fax:757-466-0947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040048001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty