INTERCEPT YOUTH SERVICES INC. NPI 1841391372

NPI Information

INTERCEPT YOUTH SERVICES, INC. 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, INC. NPI is 1841391372. The provider is registered as an organization entity type.
The provider Other Name Is Lake House.

The provider's business location address is:

5500 STAPLES MILL RD
RICHMOND, VA
ZIP 23228-423
Phone: (804) 264-2954
Fax: (804) 264-1893

The provider's authorized official is David Randolph Graham .
The authorized official title is Dir Of Accounting & Administration and has the following contact phone number (804) 864-1320.

The enumeration date for this NPI number is 9/26/2006 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:

Other Identifiers

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