Provider Demographics
NPI:1285728220
Name:DIMENSION YOUTH SERVICES INC.
Entity type:Organization
Organization Name:DIMENSION YOUTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TORECCO
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CSAC, QMHP
Authorized Official - Phone:805-752-7582
Mailing Address - Street 1:PO BOX 1435
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-4435
Mailing Address - Country:US
Mailing Address - Phone:804-752-7582
Mailing Address - Fax:804-752-7583
Practice Address - Street 1:100 ARBOR OAK DR STE 202
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2261
Practice Address - Country:US
Practice Address - Phone:804-752-7582
Practice Address - Fax:804-752-7583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
VA722-14-001320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness