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Organization
NORTHEAST FLORIDA HEALTHY START COALITION, INC.
Active
Organization
NORTHEAST FLORIDA HEALTHY START COALITION, INC.
Active
Other names
Northeast Florida Healthy Start Coalition, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE JOHNSON BS (CHIEF EXECUTIVE OFFICER)
(904) 723-5422
Entity
Organization
Contact information
Practice address
6024 MERRILL RD, JACKSONVILLE, FL 32277-3427
(904) 723-5422
Mailing address
644 CESERY BLVD STE 210, JACKSONVILLE, FL 32211-7165
(904) 723-5422
(904) 723-5433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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