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Intercept Youth Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Midlothian, Virginia
NPI 1265533566

Intercept Youth Services, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Richmond, VA. Intercept Youth Services, Inc. practices in Midlothian, VA. The NPI Number for Intercept Youth Services, Inc. is 1265533566 and holds a License No. 295-14-013 (Virginia).

The current practice location address for Intercept Youth Services, Inc. is 11301 Lucks Ln, Midlothian, VA and can be reached out via phone at 804-423-7803 and via fax at 804-723-7805.

Location: 11301 Lucks Ln, Midlothian, VA, 23228-5445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265533566
Provider Name
Intercept Youth Services, Inc.
Credential
Provider Entity Type
Organization
Address
11301 Lucks Ln, Midlothian, VA, 23228-5445
Phone Number
804-423-7803
Fax Number
804-723-7805
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010203937 05 VA
institution
Provider Business Practice Location Address Details
Address
11301 Lucks Ln
City
Midlothian
State
Virginia
Zip
23114-1218
Phone Number
804-423-7803
Fax Number
804-723-7805
person
Provider Business Mailing Address Details
Address
11301 Lucks Ln
City
Midlothian
State
Virginia
Zip
23114-1218
Phone Number
804-423-7803
Fax Number
804-723-7805
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
295-14-013 (Virginia)
Definition
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.
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