Organization
SUCCESSFUL WOMEN ACKNOWLEDGED
Active
Parent organization
SUCCESSFUL WOMEN ACKNOWLEDGED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUCCESSFUL WOMEN ACKNOWLEDGED
Authorized official
TIFFANY S WELLS B.S. M.S. CWCM, CPI (FOUNDER CEO)
(904) 566-0200
Entity
Organization
Contact information
Practice address
5991 CHESTER AVE STE 211, JACKSONVILLE, FL 32217-2245
(904) 566-0200
Mailing address
5991 CHESTER AVE STE 211, JACKSONVILLE, FL 32217-2245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
3852
FL
251K00000X
Public Health or Welfare Agency
3852
FL
251S00000X
Community/Behavioral Health Agency
3852
FL
251V00000X
Voluntary or Charitable Agency
3852
FL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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