Organization
URBAN FAMILY MINISTRIES CDC
Active
Organization
URBAN FAMILY MINISTRIES CDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE IVERY SR. BA, MS (EXECUTIVE DIRECTOR)
(901) 323-8400
Entity
Organization
Contact information
Practice address
2174 LAMAR AVE, MEMPHIS, TN 38114-2203
(901) 323-8400
(901) 405-1235
Mailing address
2174 LAMAR AVE, MEMPHIS, TN 38114-2203
(901) 323-8400
(901) 405-1235
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1000000002519
TN
251S00000X
Community/Behavioral Health Agency
Primary
1000000002519
TN
324500000X
Substance Abuse Rehabilitation Facility
1000000002519
TN
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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