# ALLIED HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114386778
- **Authorized official:** DEVONTA J JACKSON (OWNER)
- **Authorized official phone:** (832) 490-8067

## Contact information

- **Practice address:** 7235 BONNEVAL RD, JACKSONVILLE, FL 32256-7565
- **Practice address phone:** (904) 309-2422
- **Mailing address:** 19925 SUTTON FALLS DR, CYPRESS, TX 77433-1026
- **Mailing address phone:** (832) 490-8067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 02/16/2016