Simple Intervention, LLC
NPI #1043612104 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1043612104
- Entity Type
- Organization
- Organization Name
- Simple Intervention, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HUDSON ENTERPRISE, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 20, 2014
- Last Updated
- Feb 6, 2017
Practice Location
- Address
- 9850 LORI RD
- Address 2
- SUITE 101
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832-6758
- Phone
- (804) 621-4034
Authorized Official
- Name
- MR. BRANDON C HUDSON, BS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 621-4034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| MR. Eric Dawson | |
| Latrese Thompson |
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