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Intercept Shire House
Emotionally Disturbed Childrens' Residential Treatment Facility in Chester, Virginia
NPI 1447454509

Intercept Shire House is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Richmond, VA. Intercept Shire House practices in Chester, VA. The NPI Number for Intercept Shire House is 1447454509 and holds a License No. 295-14-016 (Virginia).

The current practice location address for Intercept Shire House is 12016 Edenshire Rd, Chester, VA and can be reached out via phone at 804-706-1463 and via fax at 804-706-1465.

Location: 12016 Edenshire Rd, Chester, VA, 23228-5445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447454509
Provider Name
Intercept Shire House
Credential
Provider Entity Type
Organization
Address
12016 Edenshire Rd, Chester, VA, 23228-5445
Phone Number
804-706-1463
Fax Number
804-706-1465
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12016 Edenshire Rd
City
Chester
State
Virginia
Zip
23831-3723
Phone Number
804-706-1463
Fax Number
804-706-1465
person
Provider Business Mailing Address Details
Address
12016 Edenshire Rd
City
Chester
State
Virginia
Zip
23831-3723
Phone Number
804-706-1463
Fax Number
804-706-1465
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
295-14-016 (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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