Organization
REFUAT HANEFESH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN SAMUEL II (CEO)
(904) 832-1623
Entity
Organization
Contact information
Practice address
3733 UNIVERSITY BLVD W STE 202, JACKSONVILLE, FL 32217-2152
(904) 755-6623
(888) 402-9512
Mailing address
15770 STEDMAN LAKE DR, JACKSONVILLE, FL 32218-0619
(904) 832-1623
(888) 402-9512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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