| Intercept Youth Services, Inc. | |
|
11961 Iron Bridge Rd Chester VA 23831-1458 | |
| (804) 425-8001 | |
| (804) 425-8003 |
| Full Name | Intercept Youth Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11961 Iron Bridge Rd, Chester, Virginia |
| Authorized Official Name and Position | Don Kamencik (CFO) |
| Authorized Official Contact | 8048641320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercept Youth Services, Inc. 5511 Staples Mill Rd Suite 102 Richmond VA 23228-5445 Ph: (804) 864-1320 | Intercept Youth Services, Inc. 11961 Iron Bridge Rd Chester VA 23831-1458 Ph: (804) 425-8001 |
| NPI Number | 1437250982 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437250982 | NPI | - | NPPES |
| 010075670 | Medicaid | VA |
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