Provider Demographics
NPI:1851766125
Name:JEVS HUMAN SERVICES
Entity Type:Organization
Organization Name:JEVS HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-350-8600
Mailing Address - Street 1:1845 WALNUT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9350 ASHTON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-3400
Practice Address - Country:US
Practice Address - Phone:267-350-8600
Practice Address - Fax:215-255-4777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2024-02-14
Deactivation Date:2024-02-02
Deactivation Code:
Reactivation Date:2024-02-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health