Ola Home For Boys, LLC
Community Based Residential Treatment Facility, Mental Illness in Richmond, VA. Organization (NPI-2).
NPI number1407939655
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407939655
- Entity type
- Organization (NPI-2)
- Legal business name
- Ola Home For Boys, LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0021836400 | VA | Yes |
Practice location
1802 N 22nd StRichmond, VA 23223-4434
Phone 804-343-5153 · Fax 804-343-5153
Mailing address
Po Box 2074Mechanicsville, VA 23116-0010
Phone 804-343-5153 · Fax 804-343-5153
Authorized official
Keith Rodney Brooks
Chief Administrative Officer
8043435153
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