Intercept Youth Services, Inc.
LBN: Intercept Youth Services, Inc.
Intercept Youth Services, Inc. is an health care organization with primary practice located at 11961 Iron Bridge Rd , Chester VA 23831-1458. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty.
Intercept Youth Services, Inc. can be contacted via phone (804) 425-8001, or through Kamencik, Don via phone (804) 864-1320.
Contact Information
Primary practice address
11961 Iron Bridge Rd
Chester VA 23831-1458
Phone: (804) 425-8001
Fax: (804) 425-8003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 295-14-008 | Virginia |
Profile Details
| NPI number | 1437250982 |
|---|---|
| LBN Legal business name | Intercept Youth Services, Inc. |
| DBA Doing business as | |
| Authorized official | Kamencik, Don |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jan 12th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437250982 | NPPES |
| Virginia | MEDICAID | 010075670 |
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