Organization
INTERCEPT YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON KAMENCIK (CFO)
(804) 864-1320
Entity
Organization
Contact information
Practice address
3400 NEWBYS BRIDGE RD, CHESTERFIELD, VA 23832-7828
(804) 726-8690
(804) 726-8692
Mailing address
5511 STAPLES MILL RD, SUITE 102, RICHMOND, VA 23228-5445
(804) 864-1320
(804) 864-1323
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
295-14-010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010090415
—
VA
Enumeration date
09/26/2006
Last updated
09/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us