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JEFFERSON FAMILY CORPORATION INC NPI 1295397297


NPI Information

NPI: 1295397297
Provider Name: JEFFERSON FAMILY CORPORATION, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
304 S. JONES BLVD
SUITE #3673
LAS VEGAS, NV
ZIP 89107
Phone: (702) 684-3573
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JEFFERSON FAMILY CORPORATION, INC is a community behavioral health in Las Vegas, NV. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JEFFERSON FAMILY CORPORATION, INC NPI is 1295397297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

304 S. JONES BLVD
SUITE #3673
LAS VEGAS, NV
ZIP 89107
Phone: (702) 684-3573
Fax: (702) 548-6891

The provider's authorized official is Annie Mae Spencer .
The authorized official title is Owner and has the following contact phone number (702) 684-3573.

The enumeration date for this NPI number is 7/1/2019 and was last updated on 7/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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