Organization
INTERCEPT YOUTH SERVICES
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 NW, ROANOKE, VA 24012-1119
(540) 315-6659
Mailing address
5511 STAPLES MILL RD STE 102, RICHMOND, VA 23228-5445
(804) 440-3700
(804) 864-1323
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
29507001
VA
Other
Enumeration date
07/01/2010
Last updated
05/13/2025
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