OrganizationActive
Hampton Roads Youth Center
NPI 1104006055 · Emotionally Disturbed Childrens' Residential Treatment Facility · Suffolk, VA
Provider details
- NPI number
- 1104006055
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Denise Mullins, Chief Executive Officer(757) 923-4948
- License
- SS-241-06 (VA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense SS-241-06 (VA)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
275 Kenyon Rd
Suite B
Suffolk, VA 23434-7450
Phone: (757) 923-4948
Fax: (757) 923-4949
Street-level locationGet directions
Mailing address
275 Kenyon Rd
Suffolk, VA 23434-7450
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2007-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.