Organization
COMMUNITY REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIETTE GARDNER (OWNER)
(901) 338-5421
Entity
Organization
Contact information
Practice address
330 W 70TH ST, JACKSONVILLE, FL 32208-3810
(901) 338-5421
Mailing address
330 W 70TH ST, JACKSONVILLE, FL 32208-3810
(901) 338-5421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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