Organization
JERRY L IVERY MINISTRIES INC
Active
Other names
Urban Family Ministries, JERRY L IVERY MINISTRIES INC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L IVERY (EXECUTIVE DIRECTOR)
(901) 438-7382
Entity
Organization
Contact information
Practice address
709 KEEL AVE, MEMPHIS, TN 38107-2509
(901) 438-7382
Mailing address
709 KEEL AVE, MEMPHIS, TN 38107-2509
(901) 438-7382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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