Provider Demographics
NPI:1518592526
Name:DIMENSION YOUTH SERVICES INC.
Entity Type:Organization
Organization Name:DIMENSION YOUTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TORECCO
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CSAC, QMHP
Authorized Official - Phone:804-752-7582
Mailing Address - Street 1:PO BOX 1435
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-4435
Mailing Address - Country:US
Mailing Address - Phone:804-752-7582
Mailing Address - Fax:804-752-7583
Practice Address - Street 1:100 ARBOR OAK DR STE 202
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2261
Practice Address - Country:US
Practice Address - Phone:804-752-7582
Practice Address - Fax:804-752-7583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management