# JACKSON NORTH COMMUNITY MENTAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1699879163
- **Authorized official:** MRS. SUKUBA F. BOBMANUEL (SOCIAL WORKER/CASE MANAGER)
- **Authorized official phone:** (786) 223-3644

## Contact information

- **Practice address:** 20201 NW 37TH AVE, OPA LOCKA, FL 33056-1755
- **Practice address phone:** (786) 223-3644
- **Mailing address:** 20201 NW 37TH AVE, OPA LOCKA, FL 33056-1755
- **Mailing address phone:** (786) 223-3644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 251B00000X | FL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/22/2020