| Intercept Youth Services, Inc | |
|
5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 | |
| (540) 523-8055 | |
| (540) 400-8808 |
| Full Name | Intercept Youth Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5511 Staples Mill Rd Ste 102, Richmond, Virginia |
| Authorized Official Name and Position | Maria Elena Weaver (OFFICE MANAGER) |
| Authorized Official Contact | 5405238055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercept Youth Services, Inc 5673 Airport Rd Roanoke VA 24012-1119 Ph: (540) 523-8055 | Intercept Youth Services, Inc 5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 Ph: (540) 523-8055 |
| NPI Number | 1689287468 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689287468 | NPI | - | NPPES |
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