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Organization

SUBLIMINAL DREAMZ INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHONTAE D JACKSON RBT (CEO)
(904) 474-2298
Entity
Organization

Contact information

Practice address
3730 MONCRIEF RD, JACKSONVILLE, FL 32209
(904) 474-2298
Mailing address
1591 W 31ST ST, JACKSONVILLE, FL 32209-3858
(904) 474-2298

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/24/2023
Last updated
11/24/2023
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