OrganizationActive
Leaders for Life
NPI 1154723617 · Substance Abuse Rehabilitation Facility · Richmond, VA
Provider details
- NPI number
- 1154723617
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Fatima Smith, Ceo(804) 477-6137
Specialties & taxonomies
Residential Treatment Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
Practice location
2000 Bremo Rd Ste 200
Richmond, VA 23226-2440
Phone: (804) 477-6137
Fax: (804) 800-4222
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Bremo Rd
Richmond, VA 23226-2440
Additional practice locations (1)
- 530 E Main St Ste 410Richmond, VA 23219-2431Phone: (804) 477-6137
Registry dates
- Enumerated
- 2014-09-16
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.