Provider Demographics
NPI:1649997131
Name:JIRAH CORPORATION
Entity type:Organization
Organization Name:JIRAH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-526-1056
Mailing Address - Street 1:6303 BARSKY CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-1642
Mailing Address - Country:US
Mailing Address - Phone:910-526-1056
Mailing Address - Fax:
Practice Address - Street 1:10301 DEMOCRACY LN STE 301302
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2545
Practice Address - Country:US
Practice Address - Phone:571-223-7588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty