# NEVAEH II (MH-TCM) PERSONAL DEVELOPMENT & SUPPORTS IC.

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

## Provider details

- **NPI number:** 1215350178
- **Authorized official:** LISA MITCHELL (PRESIDENT)
- **Authorized official phone:** (904) 386-3901

## Contact information

- **Practice address:** 5150 TIMUQUANA RD STE 14, JACKSONVILLE, FL 32210-8925
- **Practice address phone:** (904) 386-3901
- **Mailing address:** 5150 TIMUQUANA RD STE 14, JACKSONVILLE, FL 32210-8925
- **Mailing address phone:** (904) 386-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 01/29/2014