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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