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
10187 BROOK RD, GLEN ALLEN, VA 23059-6508
(540) 315-6659
Mailing address
5511 STAPLES MILL RD STE 102, RICHMOND, VA 23228-5445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
295-05-001
VA
Other
Enumeration date
04/09/2012
Last updated
05/13/2025
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