# COMMUNTIY REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952304511
- **Authorized official:** MR. REGINALD L GAFFNEY SR. EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (904) 358-1211

## Contact information

- **Practice address:** 623 BEECHWOOD ST, JACKSONVILLE, FL 32206-6236
- **Practice address phone:** (904) 358-1211
- **Practice address fax:** (904) 358-1551
- **Mailing address:** 623 BEECHWOOD ST, JACKSONVILLE, FL 32206-6236
- **Mailing address phone:** (904) 358-1211
- **Mailing address fax:** (904) 358-1551

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 08/22/2020