OrganizationActive
Intercept Youth Services, Inc.
NPI 1902907314 · Emotionally Disturbed Childrens' Residential Treatment Facility · Chesterfield, VA
Provider details
- NPI number
- 1902907314
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Don Kamencik, Cfo(804) 864-1320
- License
- 295-14-010 (VA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 295-14-010 (VA)
Residential Treatment Facilities
Practice location
3400 Newbys Bridge Rd
Chesterfield, VA 23832-7828
Phone: (804) 726-8690
Fax: (804) 726-8692
Approximate (ZIP-level) locationGet directions
Mailing address
5511 Staples Mill Rd
Richmond, VA 23228-5445
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.