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General NPI Number Information
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NPI Number | 1154512721
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Entity Type | Organization
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Legal Business Name | WRIGHT HOUSE YOUTH AND FAMILY SERVICES, INC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 5412 STONE LN
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City | RICHMOND
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State | VA
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Zip | 23227-2648
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Country | US
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Telephone | 804-553-0093
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Fax | 804-553-0096
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Provider Business Mailing Address
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Address Line | PO BOX 9134
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City | RICHMOND
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State | VA
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Zip | 23227-0134
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Country | US
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Telephone | 804-553-0093
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Fax | 804-553-0096
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Authorized Official
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Title or Position | OWNER
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Name | MISS KEISHA MONIQUE WRIGHT
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Credential |
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Telephone | 804-651-9661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | SS-337-07
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License Number State | VA
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