Provider Demographics
NPI:1154512721
Name:WRIGHT HOUSE YOUTH AND FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:WRIGHT HOUSE YOUTH AND FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-651-9661
Mailing Address - Street 1:PO BOX 9134
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-0134
Mailing Address - Country:US
Mailing Address - Phone:804-553-0093
Mailing Address - Fax:804-553-0096
Practice Address - Street 1:5412 STONE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2648
Practice Address - Country:US
Practice Address - Phone:804-553-0093
Practice Address - Fax:804-553-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VASS-337-07322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children