Provider Demographics
NPI:1154652188
Name:A FRESH APPROACH YOUTH SERVICES, LLC
Entity Type:Organization
Organization Name:A FRESH APPROACH YOUTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:PARISH
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-271-4646
Mailing Address - Street 1:7411 CANNOCK RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-8159
Mailing Address - Country:US
Mailing Address - Phone:804-271-4646
Mailing Address - Fax:804-271-4667
Practice Address - Street 1:7411 CANNOCK RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-8159
Practice Address - Country:US
Practice Address - Phone:804-271-4646
Practice Address - Fax:804-271-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities