Provider Demographics
NPI:1427226810
Name:STRATH HOUSE, LLC
Entity Type:Organization
Organization Name:STRATH HOUSE, LLC
Other - Org Name:CENTRAL VIRGINIA FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:BRISTOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-523-7702
Mailing Address - Street 1:2317 WESTWOOD AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4007
Mailing Address - Country:US
Mailing Address - Phone:804-523-7702
Mailing Address - Fax:866-383-5281
Practice Address - Street 1:8267 STRATH RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-7419
Practice Address - Country:US
Practice Address - Phone:804-523-7702
Practice Address - Fax:866-383-5281
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA FAMILY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-19
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities