BOUNDLESS POTENTIAL LLC
Residential Treatment Facilities at Telegraph Station Ln, Glen Allen, VA

License number
Virginia SS-04-09
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
License number
Virginia SS-212-07
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
Owner
Name: MRS. DEBORAH MALONE RALPH LCSW
Title: DIRECTOR OF CLINICAL SERVICES
Phone: (804) 901-3122
Address
Address 2
1005 Telegraph Station Ln, Glen Allen, VA 23060
PO Box 15238, Richmond, VA 23227
National Provider ID: 1598803124
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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