MEDICARE: JC FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629373543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JC FAMILY SERVICES

Provider Business Mailing Address
First Line	:	2370 RIDGE FIELD TRL
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-6803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18190 BABY BEAR CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89508-5816
Country	:	US
Telephone Number	:	775-315-4064
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHANDRA WILLIAMS
Credential	:
Telephone Number	:	916-240-3887

Provider Enumeration Date	:	01/24/2011
Last Update Date	:	01/24/2011

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Directions to “JC FAMILY SERVICES ” Practice Location

Language	Start Address	Practice Location

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