| NPI | 1609905678 |
|---|---|
| Other Name | INTERCEPT VISION HOUSE |
| Entity Type | Organization |
| Authorized Contact | DON KAMENCIK CFO 804-864-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 295-14-015) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-09-24 |