Provider Demographics
NPI:1154578177
Name:JADS SERVICES INC.
Entity type:Organization
Organization Name:JADS SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLENE
Authorized Official - Middle Name:MINETA
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-912-8894
Mailing Address - Street 1:2500 DALLAS HWY SW STE 202
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-7505
Mailing Address - Country:US
Mailing Address - Phone:770-912-8894
Mailing Address - Fax:770-573-7316
Practice Address - Street 1:1264 EMMA JEAN PL SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3798
Practice Address - Country:US
Practice Address - Phone:770-912-8894
Practice Address - Fax:770-573-7316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002518251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health