Provider Demographics
NPI:1841597168
Name:COMMUNITY ALTERNATIVES FOR YOUTH & FAMILIES, LLC
Entity Type:Organization
Organization Name:COMMUNITY ALTERNATIVES FOR YOUTH & FAMILIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:804-437-2187
Mailing Address - Street 1:6719 IRONGATE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-2840
Mailing Address - Country:US
Mailing Address - Phone:804-437-2187
Mailing Address - Fax:
Practice Address - Street 1:6719 IRONGATE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-2840
Practice Address - Country:US
Practice Address - Phone:804-437-2187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children