OrganizationActive
Virginia Commonwealth University Health System Authority
NPI 1275690976 · Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA
Provider details
- NPI number
- 1275690976
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melinda Hancock, Cfo(804) 212-5145
- License
- H1875 (VA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1308 Sherwood Ave
Richmond, VA 23220
Phone: (804) 628-6643
Fax: (804) 828-2029
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 758997
Baltimore, MD 21275-0001
Other names (DBA / former)
- Doing business as
- Vtcc-Residental Treatment
- Doing business as
- Vtcc-Residental Treatment
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2018-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.