DOMINION YOUTH SERVICES RESIDENTIAL
NPI 1952562811
Community Based Residential Treatment Facility, Mental Illness in Roanoke, VA

Q: What is Dominion Youth Services's NPI number?

The NPI number for Dominion Youth Services is 1952562811. It was assigned to this organization in the NPPES registry on June 23, 2008. The provider is doing business as Dominion Youth Services Residential.

Q: What is Dominion Youth Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since June 23, 2008

4802 NORTHRIDGE LANE, ROANOKE, VA 24019(540) 366-3080(540) 366-3081 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dominion Youth Services Residential NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINION YOUTH SERVICES RESIDENTIAL (NPI 1952562811) is a healthcare organization registered as a community based residential treatment facility, mental illness in Roanoke, Virginia and active in the NPI registry since June 2008. The organization lists Gl Pulliam, Director Of Residential, as its authorized official.

NPPES Registry Identity

NPI1952562811

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameDOMINION YOUTH SERVICES

Location Address4802 NORTHRIDGE LANERoanoke, VA 24019

Mailing Address8401 Mayland Drive, Suite CRichmond, VA 23294 · (804) 285-9838 · Fax (804) 285-9839

Phone(540) 366-3080

Fax(540) 366-3081

Organization SubpartNo

Authorized OfficialGl PulliamDirector Of Residential · (804) 285-9838

Enumeration DateJune 23, 2008

✔ NPI 1952562811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in VA · 40614077

Definition

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

4802 NORTHRIDGE LANE, Roanoke, VA 24019

Open in Google Maps ↗

Other Names 1

Doing Business AsDominion Youth Services Residential

Other Identifiers 1

Other406-14-077VA · Dmh License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominion Youth Services's NPI number?

The NPI number for Dominion Youth Services is 1952562811. It was assigned to this organization in the NPPES registry on June 23, 2008. The provider is doing business as Dominion Youth Services Residential.

Where is Dominion Youth Services located?

Dominion Youth Services is located at 4802 Northridge Lane, Roanoke, VA 24019. The listed phone number is (540) 366-3080.

What is Dominion Youth Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Dominion Youth Services was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.