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Organization
INTERCEPT YOUTH SERVICES, INC.
Active
Organization
INTERCEPT YOUTH SERVICES, INC.
Active
Other names
Intercept Vision House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOLANDA WINFIELD (CFO)
(804) 807-1201
Entity
Organization
Contact information
Practice address
4220 COURTHOUSE RD, CHESTERFIELD, VA 23832-7210
(804) 497-8171
(804) 497-8173
Mailing address
5511 STAPLES MILL RD STE 102, RICHMOND, VA 23228-5445
(804) 864-1320
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
295-14-015
VA
Other
Enumeration date
03/05/2007
Last updated
03/14/2025
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