Provider Demographics
NPI:1881346187
Name:JUVENILE OFFENDER ADVOCATE INC JOA
Entity type:Organization
Organization Name:JUVENILE OFFENDER ADVOCATE INC JOA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-206-7169
Mailing Address - Street 1:PO BOX 81312
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30608-1312
Mailing Address - Country:US
Mailing Address - Phone:706-206-7169
Mailing Address - Fax:
Practice Address - Street 1:1135 CEDAR SHOALS DR STE B
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-5299
Practice Address - Country:US
Practice Address - Phone:706-247-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management