=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710317623
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JTF CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2013
-----------------------------------------------------
Last Update Date | 11/14/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16211 N SCOTTSDALE RD A-6-A 446
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85254-1584
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-559-6829
-----------------------------------------------------
Fax | 877-223-9836
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16211 N SCOTTSDALE RD A-6-A 446
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85254-1584
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-559-6829
-----------------------------------------------------
Fax | 877-223-9836
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JEREMY FREER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 480-559-6829
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------