ANNZETTA'S THERAPEUTIC HOME FOR BOYS, LLC – NPI #1063609659
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

ANNZETTA'S THERAPEUTIC HOME FOR BOYS, LLC is a community based residential treatment facility located in PETERSBURG, VA. NPPES has assigned the NPI number 1063609659 to ANNZETTA'S THERAPEUTIC HOME FOR BOYS, LLC on September 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 19 years ago on Oct 25, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNZETTA'S THERAPEUTIC HOME FOR BOYS, LLC below.

NPI Profile for
ANNZETTA'S THERAPEUTIC HOME FOR BOYS, LLC

NPI Number
1063609659
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANNZETTA'S THERAPEUTIC HOME FOR BOYS, LLC
Primary location
1834 BUCKNER ST
PETERSBURG, VA 23805-1705
Phone: (804) 863-2661 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY HARRIS
OFFICE CLERK
Phone: (804) 861-5182
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.