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Youth and Family Dynamics Inhome Services 2 — NPI 1730404963, Henrico, VA | NPI Central

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NPI 1730404963

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Youth and Family Dynamics Inhome Services 2

NPI 1730404963 · Health Maintenance Organization · Henrico, VA

Provider details

NPI number: 1730404963
Entity type: Organization
Primary specialty: Health Maintenance OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Allen Jackson, Ceo(804) 501-9440
License: 1162 (VA)

Specialties & taxonomies

Health Maintenance OrganizationPrimary302R00000XLicense 1162 (VA)
Managed Care Organizations

Practice location

5741 S Laburnum Ave

Henrico, VA 23231-4431

Phone: (804) 501-9440

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

1733 First Colonial Ct

Henrico, VA 23231-6892

Other names (DBA / former)

Former legal business name: Youth and Family Dynamaics Day Treatment Support

Registry dates

Enumerated: 2010-03-31
Last updated: 2013-12-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.