Organization
SOUTHERN SKY OUTPATIENT DETOX, LLC
Active
Other names
Jacksonville Outpatient Detox, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CLAY (MANAGING MEMBER)
(404) 229-7743
Entity
Organization
Contact information
Practice address
8613 OLD KINGS RD BLDG 1, JACKSONVILLE, FL 32217-4825
(770) 659-5944
Mailing address
227 SANDY SPRINGS PL # D-298, SANDY SPRINGS, GA 30328-5918
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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