Organization
SIMPLE INTERVENTION, LLC
Active
Parent organization
HUDSON ENTERPRISE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUDSON ENTERPRISE, LLC
Authorized official
MR. BRANDON C HUDSON BS (EXECUTIVE DIRECTOR)
(804) 621-4034
Entity
Organization
Contact information
Practice address
9850 LORI RD, SUITE 101, CHESTERFIELD, VA 23832-6758
(804) 621-4034
(804) 621-4091
Mailing address
PO BOX 1330, CHESTERFIELD, VA 23832-9103
(804) 621-4034
(804) 200-5413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2548
VA
Other
Enumeration date
09/20/2014
Last updated
02/06/2017
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