NPI 1043608250
Brady's Youth & Development Center
Practice location
- Address
- 4048 Forest Dr., Columbia, SC 29201
- Phone
- (704) 555-6235
Authorised official
- Name
- Johnny Leroy Brady
- Title
- Ceo
- Phone
- (704) 497-8902
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1043608250
- Entity type
- Organization
- NPI issued
- 23 Dec 2014
- Record last updated
- 23 Dec 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.