# MENTAL HEALTH CENTER OF JACKSONVILLE, INC.

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

## Provider details

- **NPI number:** 1366558132
- **Authorized official:** MR. ROBERT SOMMERS PH.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (904) 743-1883

## Contact information

- **Practice address:** 3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
- **Practice address phone:** (904) 695-9145
- **Practice address fax:** (904) 695-2465
- **Mailing address:** PO BOX 19189, JACKSONVILLE, FL 32245-9189
- **Mailing address phone:** (904) 743-1883
- **Mailing address fax:** (904) 743-5109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 283Q00000X | Psychiatric Hospital | — | NULL | — |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 01/26/2015