Provider Demographics
NPI:1194844670
Name:VIRGINIA HOME FOR BOYS & GIRLS
Entity Type:Organization
Organization Name:VIRGINIA HOME FOR BOYS & GIRLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF FINANCE AND ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:CY
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-270-6566
Mailing Address - Street 1:8716 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-6209
Mailing Address - Country:US
Mailing Address - Phone:804-270-6566
Mailing Address - Fax:804-934-9013
Practice Address - Street 1:8716 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-6209
Practice Address - Country:US
Practice Address - Phone:804-270-6566
Practice Address - Fax:804-934-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty