Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Ambulatory Family Planning Facility |
261QA0005X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Methadone |
261QM2800X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1710933379 |
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| LBN Legal business name | COUNTY OF JACKSON | ||||||||||||||||||||||||
| Authorized official | MARK ORNDOFF - (DIRECTOR) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 05/25/2006 | ||||||||||||||||||||||||
| Last updated | 12/11/2014 - About 11 years ago | ||||||||||||||||||||||||
| Identifiers |
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COUNTY OF JACKSON
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