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Organization
MENTAL HEALTH CENTER OF JACKSONVILLE, INC.
Active
Organization
MENTAL HEALTH CENTER OF JACKSONVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SOMMERS PH.D. (PRESIDENT AND CEO)
(904) 743-1883
Entity
Organization
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
(904) 695-2465
Mailing address
PO BOX 19189, JACKSONVILLE, FL 32245-9189
(904) 743-1883
(904) 743-5109
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
283Q00000X
Psychiatric Hospital
—
NULL
Other
Enumeration date
08/22/2006
Last updated
01/26/2015
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