Organization
JESSIE'S WORLD INC
Active
Other names
Triumph Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE C JOHNSON MS, CBOS (CHIEF DEVELOPMENT OFFICER)
(980) 263-9670
Entity
Organization
Contact information
Practice address
1000 BAXTER ST STE 1100, CHARLOTTE, NC 28204-2859
(980) 263-9670
(980) 430-4527
Mailing address
PO BOX 480635, CHARLOTTE, NC 28269-5305
(980) 263-9670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
08/28/2024
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