Provider Demographics
NPI:1467842740
Name:JCJ ENTERPRISES
Entity Type:Organization
Organization Name:JCJ ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATIONAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:DAVIS-ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-772-5567
Mailing Address - Street 1:2511 SAND RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-7081
Mailing Address - Country:US
Mailing Address - Phone:706-772-5567
Mailing Address - Fax:706-772-5567
Practice Address - Street 1:2511 SAND RIDGE CT
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-7081
Practice Address - Country:US
Practice Address - Phone:706-772-5567
Practice Address - Fax:706-772-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency