Organization · Type 2 NPI

Jessie's World Inc

Community/Behavioral Health Agency · Charlotte, NC

NPI number 1255928388 Active

Practice location

1000 Baxter St Ste 1100
Charlotte, NC 28204-2859

Call (980) 263-9670 Map

Fax (980) 430-4527

Mailing address

PO Box 480635
Charlotte, NC 28269-5305

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1255928388
Entity type: Organization (Type 2)
Issued: Dec 22, 2020
Last updated: Aug 28, 2024
Status: Active

Other names

<unavail>
Triumph Services · doing business as
Triumph Services · doing business as

Authorized official

Mrs. Renee C Johnson, MS, CBOS
Chief Development Officer
(980) 263-9670

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255928388

Jessie's World Inc's National Provider Identifier is 1255928388, issued on Dec 22, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 28, 2024.