# JARIST ADULT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447491105
- **Authorized official:** MS. CHANDRA DENISE WILLIAMS (OWNER/QMHP)
- **Authorized official phone:** (803) 207-9649

## Contact information

- **Practice address:** 9726 BARK MEAD DR, CHARLOTTE, NC 28273-5400
- **Practice address phone:** (803) 207-9649
- **Mailing address:** PO BOX 7621, CHARLOTTE, NC 28241-7621
- **Mailing address phone:** (803) 207-9649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 0601087 | NC | Yes |

## Other

- **Enumeration date:** 03/10/2009
- **Last updated:** 03/10/2009