Provider Demographics
NPI:1821644279
Name:JACKSON BEHAVIORAL & CASE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:JACKSON BEHAVIORAL & CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:754-201-8554
Mailing Address - Street 1:6300 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6005
Mailing Address - Country:US
Mailing Address - Phone:754-201-8554
Mailing Address - Fax:305-754-4063
Practice Address - Street 1:6300 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-6005
Practice Address - Country:US
Practice Address - Phone:754-201-8554
Practice Address - Fax:305-754-4063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health