Provider Demographics
NPI:1417229774
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:804-314-3090
Mailing Address - Street 1:300 ARBORETUM PLACE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3475
Mailing Address - Country:US
Mailing Address - Phone:804-560-8001
Mailing Address - Fax:804-560-6875
Practice Address - Street 1:300 ARBORETUM PLACE
Practice Address - Street 2:SUITE 502
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-3475
Practice Address - Country:US
Practice Address - Phone:804-560-8001
Practice Address - Fax:804-560-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1502251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health