Diamonds in the Rough Youth and Family Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

464-05-001 Issued in VA

Legal business name

DIAMONDS IN THE ROUGH YOUTH AND FAMILY SERVICES, INC.

Practice address

4901 Fitzhugh Ave., Ste. 200
Richmond, VA 23230-3531

Phone

(804) 213-0140

Fax

(804) 213-0143

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Lynn Dixon

Title

Administrator

Phone

(804) 213-0140

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1376728949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 6386",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303531",
            "telephone_number": "804-213-0140",
            "fax_number": "804-213-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FITZHUGH AVE., STE. 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303531",
            "telephone_number": "804-213-0140",
            "fax_number": "804-213-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMONDS IN THE ROUGH YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-213-0140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "464-05-001",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "464-14-001",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "464-14-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.