| Brady's Youth And Development Center | |
|
169 Park Fairfax Dr Charlotte NC 28208-4442 | |
| (704) 497-8902 | |
| Not Available |
| Full Name | Brady's Youth And Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 169 Park Fairfax Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Johnny Brady (CEO) |
| Authorized Official Contact | 7044978902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brady's Youth And Development Center 169 Park Fairfax Dr Charlotte NC 28208-4442 Ph: (704) 497-8902 | Brady's Youth And Development Center 169 Park Fairfax Dr Charlotte NC 28208-4442 Ph: (704) 497-8902 |
| NPI Number | 1053702100 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053702100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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