Provider Demographics
NPI:1437487345
Name:ALC YOUTH & FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:ALC YOUTH & FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-651-7972
Mailing Address - Street 1:1313 PLEASANT CREEK CT
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-6841
Mailing Address - Country:US
Mailing Address - Phone:804-651-7972
Mailing Address - Fax:804-530-0195
Practice Address - Street 1:9831 KEVKEN DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23237-4058
Practice Address - Country:US
Practice Address - Phone:804-651-7972
Practice Address - Fax:804-530-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness