OrganizationActive
Youth to Wisdom
NPI 1538529334 · Health Maintenance Organization · North Chesterfield, VA
Provider details
- NPI number
- 1538529334
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mary Brooks, Volunteer Administrator(804) 690-8177
- License
- 1401112429 (VA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1611 White Cedar Ln
North Chesterfield, VA 23235-5449
Phone: (804) 690-8177
Fax: (804) 745-7183
Approximate (ZIP-level) locationGet directions
Mailing address
1611 White Cedar Ln
North Chesterfield, VA 23235-5449
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2016-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.