Provider Demographics
NPI:1164887758
Name:YOUTH & FAMILY SERVICES OF VIRGINIA, INC.
Entity Type:Organization
Organization Name:YOUTH & FAMILY SERVICES OF VIRGINIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-887-2350
Mailing Address - Street 1:300 ARBORETUM PL
Mailing Address - Street 2:SUITE 502
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3475
Mailing Address - Country:US
Mailing Address - Phone:804-887-2990
Mailing Address - Fax:
Practice Address - Street 1:300 ARBORETUM PL
Practice Address - Street 2:SUITE 502
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3475
Practice Address - Country:US
Practice Address - Phone:804-887-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle