Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES SMALL

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · GLEN ALLEN, VA

Registration Details

NPI Number: 1740131903
Provider Type: Individual
Gender: Male
NPI Issued: Feb 4, 2026 (0.21008624921645 yrs)
Last Updated: Feb 4, 2026
License: 16459-08-013 (VA)
Sole Proprietor: Yes

Practice Information

Address: 10712 TOSTON LN

GLEN ALLEN, VA, 230606496
Browse VA providers · Browse ZIP 23060
Phone: 8042525482
Fax: 8042525482
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.