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INTERCEPT YOUTH SERVICES, INC., Residential Treatment Facilities / 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.

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INTERCEPT YOUTH SERVICES, INC.

NPI Number 1679674329
State Identifier(s)
Group Name INTERCEPT YOUTH SERVICES, INC.
Other name INDEPENDENCE HOUSE
Credentials - Lic #:295-14-003 (Virginia)
Mailing Address Confidential
Business Address 3111 N PARHAM RD
RICHMOND, VA 23294-4408

Phone (804) 270-7056 Fax (804) 270-7057
Name DAVID RANDOLPH GRAHAM - (DIR OF ACCOUNTING & ADMINISTRATION)
Primary Specialty Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children
Additional Specialties
Last Modified 07/09/2007
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