| Intercept Youth Services, Inc | |
|
105 W Pine St Wytheville VA 24382-1937 | |
| (276) 226-1726 | |
| (276) 335-2151 |
| Full Name | Intercept Youth Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 W Pine St, Wytheville, Virginia |
| Authorized Official Name and Position | Yolanda Winfield (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8048071201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercept Youth Services, Inc 5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 Ph: (804) 612-3317 | Intercept Youth Services, Inc 105 W Pine St Wytheville VA 24382-1937 Ph: (276) 226-1726 |
| NPI Number | 1518448331 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518448331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 295-05-001 (Virginia) | Primary |
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