Organization
ARJ SC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDELL JASPER PH.D. (CLINICAL DIRECTOR)
(980) 229-3788
Entity
Organization
Contact information
Practice address
5939 BRIGHTSTAR VALLEY RD, MINT HILL, NC 28227-7691
(980) 229-3788
Mailing address
5201 JOHNSONS BARN RD, YORK, SC 29745-7608
(980) 229-3788
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217BHS
—
SC
Enumeration date
02/09/2015
Last updated
02/09/2015
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