OrganizationActive
Constantly Evolving
NPI 1598619280 · Substance Abuse Rehabilitation Facility · Richmond, VA
Provider details
- NPI number
- 1598619280
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latoya Dolly, Ceo(804) 248-0540
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2013 Broad Rock Blvd
Richmond, VA 23224-4805
Phone: (804) 248-0540
Approximate (ZIP-level) locationGet directions
Mailing address
2013 Broad Rock Blvd
Richmond, VA 23224-4805
Registry dates
- Enumerated
- 2026-02-21
- Last updated
- 2026-02-21
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.