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INTERCEPT YOUTH SERVICES NPI 1558808329


NPI Information

NPI: 1558808329
Provider Name: INTERCEPT YOUTH SERVICES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
5511 STAPLES MILL RD
SUITE 102
RICHMOND, VA
ZIP 23228
Phone: (804) 440-3711
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INTERCEPT YOUTH SERVICES is a residential treatment facility emotionally disturbed children in Richmond, VA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. INTERCEPT YOUTH SERVICES NPI is 1558808329. The provider is registered as an organization entity type.

The provider's business location address is:

5511 STAPLES MILL RD
SUITE 102
RICHMOND, VA
ZIP 23228-445
Phone: (804) 440-3711

The provider's authorized official is Amanda Gibson .
The authorized official title is Senior Clinical Manager and has the following contact phone number (757) 724-2256.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 9/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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