OrganizationActive
Spain Residential Program
NPI 1710209150 · Mental Illness Community Based Residential Treatment Facility · Henrico, VA
Provider details
- NPI number
- 1710209150
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Andre Smith, Owner(804) 523-7702
- License
- CO-435-10 (VA)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense CO-435-10 (VA)
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5941 Almond Tree Ter
Henrico, VA 23231-4789
Phone: (804) 523-7702
Fax: (866) 383-5281
Street-level locationGet directions
Mailing address
2916 Chamberlayne Ave
Richmond, VA 23222-3506
Registry dates
- Enumerated
- 2010-02-26
- Last updated
- 2010-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.