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Organization

INTERCEPT YOUTH SERVICES, INC.

Active
Other names
Intercept Health, Summit West
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA ELENA WEAVER (OFFICE MANAGER)
(540) 523-8055
Entity
Organization

Contact information

Practice address
1301 3RD ST SW, ROANOKE, VA 24016-5218
(540) 344-7700
Mailing address
5511 STAPLES MILL RD STE 200, RICHMOND, VA 23228-5445
(540) 529-8543
(540) 400-8808

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
12/29/2023
Last updated
12/29/2023
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