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General NPI Number Information
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NPI Number | 1508000753
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Entity Type | Organization
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Legal Business Name | WE CARE YOUTH SERVICES, LLC
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 2431 HICKS RD
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City | RICHMOND
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State | VA
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Zip | 23235-5420
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Country | US
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Telephone | 804-658-1368
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Fax |
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Provider Business Mailing Address
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Address Line | 2431 HICKS RD
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City | RICHMOND
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State | VA
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Zip | 23235-5420
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Country | US
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Telephone | 804-658-1368
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MR. JAMES FLOYD HARRIS
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Credential |
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Telephone | 804-795-2610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 1198-14-001
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License Number State | VA
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