OrganizationActive
Boundless Potential, LLC
NPI 1679601280 · Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA
Provider details
- NPI number
- 1679601280
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Deborah Ralph, Director of Clinical Services
- License
- 287-2006 (VA)
Practice location
10204 Spinning Wheel Way
Richmond, VA 23233
Phone: (804) 864-9001
Fax: (804) 864-9002
Mailing address
P.o. Box 15238
Richmond, VA 23227-0638
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.