# INTERCEPT YOUTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intercept Health, Summit West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649049792
- **Authorized official:** MARIA ELENA WEAVER (OFFICE MANAGER)
- **Authorized official phone:** (540) 523-8055

## Contact information

- **Practice address:** 1301 3RD ST SW, ROANOKE, VA 24016-5218
- **Practice address phone:** (540) 344-7700
- **Mailing address:** 5511 STAPLES MILL RD STE 200, RICHMOND, VA 23228-5445
- **Mailing address phone:** (540) 529-8543
- **Mailing address fax:** (540) 400-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2023
- **Last updated:** 12/29/2023