Provider Demographics
NPI:1982478889
Name:LOVE JAMS YOUTH & FAMILY SERVICES
Entity Type:Organization
Organization Name:LOVE JAMS YOUTH & FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-699-5422
Mailing Address - Street 1:4010 S LAKE DR UNIT 11
Mailing Address - Street 2:
Mailing Address - City:ST FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-5247
Mailing Address - Country:US
Mailing Address - Phone:414-699-5422
Mailing Address - Fax:
Practice Address - Street 1:4010 S LAKE DR UNIT 11
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-5247
Practice Address - Country:US
Practice Address - Phone:414-699-5422
Practice Address - Fax:414-988-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency