NPI 1043612104
Simple Intervention, LLC
Practice location
- Address
- 9850 Lori Rd Suite 101, Chesterfield, VA 23832-6758
- Phone
- (804) 621-4034
- Fax
- (804) 621-4091
- Mailing address
- PO Box 1330, Chesterfield, VA 23832-9103
Authorised official
- Name
- Brandon C Hudson
- Title
- Executive Director
- Phone
- (804) 621-4034
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1043612104
- Entity type
- Organization
- NPI issued
- 20 Sep 2014
- Record last updated
- 6 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.