Whalio Doctors

NPI 1043608250

Brady's Youth & Development Center

Organisation Community/Behavioral Health Agency Columbia, SC

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
Agencies Taxonomy 251S00000X

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.