Provider Demographics
NPI:1295474013
Name:ZJP ENTERPRISE INC
Entity type:Organization
Organization Name:ZJP ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PACHA
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-505-1666
Mailing Address - Street 1:3636 WESTOWN PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6713
Mailing Address - Country:US
Mailing Address - Phone:515-505-1666
Mailing Address - Fax:
Practice Address - Street 1:3636 WESTOWN PKWY STE 202
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6713
Practice Address - Country:US
Practice Address - Phone:515-505-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty