# UPSIDE TO YOUTH DEVELOPMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356670178
- **Authorized official:** MR. ROBERT E. GAY JR. (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (804) 541-7894

## Contact information

- **Practice address:** 943 STARLING AVE, MARTINSVILLE, VA 24112-6405
- **Practice address phone:** (804) 590-4453
- **Mailing address:** 943 STARLING AVE, MARTINSVILLE, VA 24112-6405
- **Mailing address phone:** (804) 590-4453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1082-05-001 | VA | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 12/08/2009