| Intercept Youth Services, Inc. | |
|
10187 Brook Rd Glen Allen VA 23059-6508 | |
| (540) 315-6659 | |
| Not Available |
| Full Name | Intercept Youth Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10187 Brook Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Yolanda Winfield (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8048071201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercept Youth Services, Inc. 5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 Ph: () - | Intercept Youth Services, Inc. 10187 Brook Rd Glen Allen VA 23059-6508 Ph: (540) 315-6659 |
| NPI Number | 1356607832 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 05/13/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356607832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 295-05-001 (Virginia) | Primary |
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