Organization
JARIST ADULT SERVICES
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANDRA DENISE WILLIAMS (OWNER/QMHP)
(803) 207-9649
Entity
Organization
Contact information
Practice address
9726 BARK MEAD DR, CHARLOTTE, NC 28273-5400
(803) 207-9649
Mailing address
PO BOX 7621, CHARLOTTE, NC 28241-7621
(803) 207-9649
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
0601087
NC
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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