# SHINING LIGHT PEER SERVICES

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

## Provider details

- **NPI number:** 1487138939
- **Authorized official:** DIANE LINKENAUGER NCRPS (DIRECTOR)
- **Authorized official phone:** (904) 290-9274

## Contact information

- **Practice address:** 3030 POWERS AVE, JACKSONVILLE, FL 32207-8043
- **Practice address phone:** (904) 290-9274
- **Mailing address:** 14269 PALMETTO SPRINGS ST, JACKSONVILLE, FL 32258-1138
- **Mailing address phone:** (904) 290-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 09/20/2018