Upside To Youth Development, Llc | |
222 N Main St Suite 312 Hopewell VA 23860-2712 | |
(804) 541-7894 | |
(804) 841-7895 |
Full Name | Upside To Youth Development, Llc |
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Speciality | Community/behavioral Health |
Location | 222 N Main St, Hopewell, Virginia |
Authorized Official Name and Position | Brandon C Hudson (CEO) |
Authorized Official Contact | 8045417894 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Upside To Youth Development, Llc 222 N Main St Suite 312 Hopewell VA 23860-2712 Ph: (804) 541-7894 | Upside To Youth Development, Llc 222 N Main St Suite 312 Hopewell VA 23860-2712 Ph: (804) 541-7894 |
NPI Number | 1659693034 |
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Provider Enumeration Date | 02/25/2010 |
Last Update Date | 02/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659693034 | NPI | - | NPPES |
1082 | Other | VA | DBDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1082-05 (Virginia) | Primary |
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