Provider Demographics
NPI:1326247727
Name:ADVOCATES FOR JUVENILE AND ADULT RIGHTS
Entity Type:Organization
Organization Name:ADVOCATES FOR JUVENILE AND ADULT RIGHTS
Other - Org Name:AJAR, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:GSW
Authorized Official - Phone:504-309-8613
Mailing Address - Street 1:PO BOX 1688
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70069-1688
Mailing Address - Country:US
Mailing Address - Phone:504-309-8613
Mailing Address - Fax:
Practice Address - Street 1:3909 4TH ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-3012
Practice Address - Country:US
Practice Address - Phone:504-309-8613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11711320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1542920Medicaid
LA1470431Medicaid