Upside to Youth Development L.l.c.
NPI #1982804308 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1982804308
- Entity Type
- Organization
- Organization Name
- Upside to Youth Development L.l.c.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 23, 2007
- Last Updated
- Mar 21, 2023
Practice Location
- Address
- 9401 COURTHOUSE RD STE 300
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832-6686
- Phone
- (804) 205-1011
Authorized Official
- Name
- MR. ROBERT EDWARD GAY JR.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (804) 943-0629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Clinic/Center - Methadone — Methadone |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community Based Residential Treatment Facility, Mental Illness |
| Psychiatric Residential Treatment Facility |
| Community/Behavioral Health |
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