Organization
ANGEL KIDS FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SAYAR (EXECUTIVE DIRECTOR)
(904) 382-1022
Entity
Organization
Contact information
Practice address
4160 BOULEVARD CENTER DR, JACKSONVILLE, FL 32207-2805
(904) 224-5437
Mailing address
4160 BOULEVARD CENTER DR, JACKSONVILLE, FL 32207-2805
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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