| Intercept Youth Services, Inc. | |
|
605 Calvert St Staunton VA 24401-4754 | |
| (540) 885-7576 | |
| (540) 885-6948 |
| Full Name | Intercept Youth Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 Calvert St, Staunton, Virginia |
| Authorized Official Name and Position | Don Kamencik (CFO) |
| Authorized Official Contact | 8048641320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercept Youth Services, Inc. 5511 Staples Mill Rd Suite 102 Richmond VA 23228-5445 Ph: (804) 864-1320 | Intercept Youth Services, Inc. 605 Calvert St Staunton VA 24401-4754 Ph: (540) 885-7576 |
| NPI Number | 1427159094 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427159094 | NPI | - | NPPES |
| 010075602 | Medicaid | VA |
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