Provider Demographics
NPI:1912040239
Name:THE NEW Y-CAPP, INC.
Entity Type:Organization
Organization Name:THE NEW Y-CAPP, INC.
Other - Org Name:Y-CAPP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-225-9144
Mailing Address - Street 1:1500 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-2308
Mailing Address - Country:US
Mailing Address - Phone:804-225-9144
Mailing Address - Fax:804-225-9145
Practice Address - Street 1:3261 CULLENWOOD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-1650
Practice Address - Country:US
Practice Address - Phone:804-276-0787
Practice Address - Fax:804-276-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility