Organization
DANIEL MEMORIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY W. WILLIAMS JR. LMHC (DIRECTOR)
(904) 296-1055
Entity
Organization
Contact information
Practice address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
(904) 448-7700
Mailing address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
(904) 448-7700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH4894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075421800
—
FL
Enumeration date
05/29/2008
Last updated
07/11/2008
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