Organization
ANCHOR LIFE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE MICKEY (OWNER)
(904) 891-9365
Entity
Organization
Contact information
Practice address
9654 RAGSDALE DR, JACKSONVILLE, FL 32257-6121
(904) 891-9365
Mailing address
9654 RAGSDALE DR, JACKSONVILLE, FL 32257-6121
(904) 891-9365
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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