Organization
BOLD CITY BEHAVIORAL HEALTH,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE ABDUR-RAZZAAQ PMHNP (CEO)
(904) 339-5048
Entity
Organization
Contact information
Practice address
2631 FORBES ST, JACKSONVILLE, FL 32204-4224
(904) 339-5048
Mailing address
2631 FORBES ST, JACKSONVILLE, FL 32204-4224
(904) 339-5048
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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