Organization
UPSIDE TO YOUTH DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON C HUDSON (CHIEF EXECUTIVE OFFICER)
(804) 541-7894
Entity
Organization
Contact information
Practice address
320 E BROADWAY, SUITE 205, HOPEWELL, VA 23860-2812
(804) 541-7894
(804) 541-7895
Mailing address
320 E BROADWAY, SUITE 205, HOPEWELL, VA 23860-2812
(804) 541-7894
(804) 541-7895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1082
VA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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