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JAKAFI BEHAVIORAL CARE CENTER LLC NPI 1891188553


NPI Information

NPI: 1891188553
Provider Name: JAKAFI BEHAVIORAL CARE CENTER, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
107 MAIFIELD AVE
WAVERLY, VA
ZIP 23890
Phone: (804) 834-2303
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JAKAFI BEHAVIORAL CARE CENTER, LLC is a community behavioral health in Waverly, VA. 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. JAKAFI BEHAVIORAL CARE CENTER, LLC NPI is 1891188553. The provider is registered as an organization entity type.

The provider's business location address is:

107 MAIFIELD AVE
WAVERLY, VA
ZIP 23890-000
Phone: (804) 834-2303

The provider's authorized official is Kwadwo O Anyane-ntow .
The authorized official title is Co-owner and has the following contact phone number (919) 491-2436.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 3/5/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementVIRGINIANo
2251S00000XCommunity/Behavioral HealthVIRGINIAYes

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: 5/5/2024

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