NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

INDEPENDENCE HOUSE
LBN INTERCEPT YOUTH SERVICES, INC.

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

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

Taxonomy / Specialty

Taxonomy Code

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty
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NPI Information for INDEPENDENCE HOUSE

NPI Number 1679674329
LBN Legal business name INTERCEPT YOUTH SERVICES, INC.
DBA Doing business as INDEPENDENCE HOUSE
Authorized official DAVID GRAHAM - (DIR OF ACCOUNTING & ADMINISTRATION)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/26/2006
Last updated 07/09/2007 - About 7 years ago
Identifiers
VA License # 295-14-003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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