Intercept Youth Services Inc | |
155 Valley St Nw Abingdon VA 24210-2800 | |
(804) 523-6202 | |
Not Available |
Full Name | Intercept Youth Services Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 155 Valley St Nw, Abingdon, Virginia |
Authorized Official Name and Position | Maria Elena Weaver (OFFICE MANAGER) |
Authorized Official Contact | 5405238055 |
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 155 Valley St Nw Abingdon VA 24210-2800 Ph: (804) 523-6202 |
NPI Number | 1306550553 |
---|---|
Provider Enumeration Date | 01/12/2023 |
Last Update Date | 01/12/2023 |
Certification Date | 01/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306550553 | NPI | - | NPPES |
601028709 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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