Strong Foundation Youth Initiative, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

806 Issued in VA

Legal business name

STRONG FOUNDATION YOUTH INITIATIVE, LLC

Practice address

6001 Lakeside Ave
Suite 20
Richmond, VA 23228-5735

Phone

(804) 283-6194

NPI assigned

Nov 9, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Leslie Ashford, B.S., QMHP

Title

Owner

Phone

(804) 283-6194

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1023188620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 LAKESIDE AVE",
            "address_2": "SUITE 20",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285735",
            "telephone_number": "804-283-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 LAKESIDE AVE",
            "address_2": "SUITE 20",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285735",
            "telephone_number": "804-283-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG FOUNDATION YOUTH INITIATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-283-6194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., QMHP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.