Organization
MENTAL HEALTH RESOURCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SOMMERS PH.D (PRESIDENT/CEO)
(904) 743-1883
Entity
Organization
Contact information
Practice address
500 BARTON BLVD STE 7, ROCKLEDGE, FL 32955-3172
(321) 504-3888
(321) 504-3462
Mailing address
PO BOX 19249, JACKSONVILLE, FL 32245-9249
(904) 743-1883
(904) 743-5309
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99464
MEDICARE
FL
Enumeration date
07/01/2021
Last updated
07/01/2021
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