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Organization
RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC
Active
Organization
RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUTHERLAND MS (PRESIDENT)
(904) 630-5169
Entity
Organization
Contact information
Practice address
8553 ARGYLE BUSINESS LOOP STE 1, JACKSONVILLE, FL 32244-6604
(904) 630-5169
(904) 645-8464
Mailing address
8553 ARGYLE BUSINESS LOOP STE 1, JACKSONVILLE, FL 32244-6604
(904) 630-5169
(904) 645-8464
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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