# NORTHEAST FLORIDA HEALTHY START COALITION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Florida Healthy Start Coalition, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598391807
- **Authorized official:** FAYE JOHNSON BS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (904) 723-5422

## Contact information

- **Practice address:** 6024 MERRILL RD, JACKSONVILLE, FL 32277-3427
- **Practice address phone:** (904) 723-5422
- **Mailing address:** 644 CESERY BLVD STE 210, JACKSONVILLE, FL 32211-7165
- **Mailing address phone:** (904) 723-5422
- **Mailing address fax:** (904) 723-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/18/2020