Organization
INNER CITY CHRISTIAN CENTER OF JACKSONVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVA HAMPTON (HEAD OF SCHOOL)
(904) 312-7995
Entity
Organization
Contact information
Practice address
320 W 8TH ST, JACKSONVILLE, FL 32206-4331
(904) 312-7995
Mailing address
320 W 8TH ST, JACKSONVILLE, FL 32206-4331
(904) 312-7994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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