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Organization
INTERCEPT YOUTH SERVICES, INC
Active
Organization
INTERCEPT YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA WINFIELD (REVENUE CYCLE MANAGER)
(804) 807-1201
Entity
Organization
Contact information
Practice address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 523-8080
(540) 512-9775
Mailing address
5511 STAPLES MILL RD STE 102, HENRICO, VA 23228-5445
(804) 864-1320
(804) 422-0840
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
100032497
VA
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/15/2017
Last updated
11/09/2025
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