Organization · Type 2 NPI

Intercept Youth Services, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA

NPI number 1275634610 Active

Practice location

2129 S Providence Rd
Richmond, VA 23236-2160

Fax (804) 249-3352

Mailing address

5511 Staples Mill Rd, Suite 102
Richmond, VA 23228-5445

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X295-14-011 (VA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1275634610

Intercept Youth Services, Inc.'s National Provider Identifier is 1275634610, issued on Sep 26, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Richmond, VA. The record was last updated on Sep 24, 2020.