Organization
INTERCEPT YOUTH SERVICES, INC.
Active
Other names
Intercept Vision House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOLANDA WINFIELD (CFO)
(804) 807-1201
Entity
Organization
Contact information
Practice address
4220 COURTHOUSE RD, CHESTERFIELD, VA 23832-7210
(804) 497-8171
(804) 497-8173
Mailing address
5511 STAPLES MILL RD STE 102, RICHMOND, VA 23228-5445
(804) 864-1320
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
295-14-015
VA
Other
Enumeration date
03/05/2007
Last updated
03/14/2025
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