OrganizationActive
Intercept Youth Services, Inc.
NPI 1275634610 · Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA
Provider details
- NPI number
- 1275634610
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Graham, Dir of Accounting & Administration(804) 864-1320
- License
- 295-14-011 (VA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 295-14-011 (VA)
Residential Treatment Facilities
Practice location
2129 S Providence Rd
Richmond, VA 23236-2160
Phone: (804) 249-3350
Fax: (804) 249-3352
Approximate (ZIP-level) locationGet directions
Mailing address
5511 Staples Mill Rd
Richmond, VA 23228-5445
Other names (DBA / former)
- Other name
- Spring House
- Other name
- Spring House
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.