NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

INTERCEPT YOUTH SERVICES, INC. – #1679674329
dba INDEPENDENCE HOUSE
Residential Treatment Facility, Emotionally Disturbed Children

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.


Contact Information

INTERCEPT YOUTH SERVICES, INC.
dba INDEPENDENCE HOUSE
3111 N PARHAM RD
RICHMOND, VA23294-4408
 Phone: 804-270-7056
 Fax: 804-270-7057
 Website:
 

Specialty

Taxonomy

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty
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NPI Information

NPI Number 1679674329
Entity Organization
Organization subpart
Enumeration date 09/26/2006
Last updated 07/09/2007
Identifiers
VA License # 295-14-003

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