Organization
JEFFCARE
Active
Parent organization
JEFFERSON PARISH HUMAN SERVICES AUTHORITY
Other names
JeffCare West Jefferson
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON PARISH HUMAN SERVICES AUTHORITY
Authorized official
ROSANNA DICHIRO DERBES PSY.D (EXECUTIVE DIRECTOR)
(504) 838-5215
Entity
Organization
Contact information
Practice address
5001 WESTBANK EXPY, SUITE 100, MARRERO, LA 70072-2954
(504) 349-8833
(504) 838-5714
Mailing address
3616 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1874
(504) 838-5215
(504) 838-5714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2369393
—
LA
Enumeration date
03/12/2014
Last updated
02/15/2022
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