Organization
ARJ-CABHA
Active
Parent organization
ARJ
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARJ
Authorized official
KENDELL JASPER PH.D. (CLINICAL DIRECTOR)
(704) 910-5395
Entity
Organization
Contact information
Practice address
2311 VILLAGE LAKE DR STE 105-262, CHARLOTTE, NC 28212
(980) 819-5692
Mailing address
2311 VILLAGE LAKE DR STE 105-262, CHARLOTTE, NC 28212-0081
(980) 819-5692
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
05/14/2019
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