Provider Demographics
NPI:1548585516
Name:TODAYS YOUTH SERVICES LLC
Entity Type:Organization
Organization Name:TODAYS YOUTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-368-8783
Mailing Address - Street 1:10035 SLIDING HILL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-7953
Mailing Address - Country:US
Mailing Address - Phone:804-368-8783
Mailing Address - Fax:804-368-8784
Practice Address - Street 1:10035 SLIDING HILL RD
Practice Address - Street 2:SUITE 206
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7953
Practice Address - Country:US
Practice Address - Phone:804-368-8783
Practice Address - Fax:804-368-8784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA875-05-001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health