Provider Demographics
NPI:1275376352
Name:JUST IN TIME COMMUNITY CASE MANAGEMENT SERVICES LLC
Entity type:Organization
Organization Name:JUST IN TIME COMMUNITY CASE MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:O
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:BA, QMHS, CDCA
Authorized Official - Phone:216-713-3831
Mailing Address - Street 1:2151 W 81ST ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-4162
Mailing Address - Country:US
Mailing Address - Phone:216-713-3831
Mailing Address - Fax:
Practice Address - Street 1:2151 W 81ST ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-4162
Practice Address - Country:US
Practice Address - Phone:216-713-3831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health