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
105 W PINE ST, WYTHEVILLE, VA 24382-1937
(540) 759-8464
(276) 706-8555
Mailing address
5511 STAPLES MILL RD STE 102, RICHMOND, VA 23228-5445
(804) 612-3317
(804) 422-0840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
295-05-001
VA
Other
Enumeration date
08/29/2018
Last updated
03/25/2025
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