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Organization

GOLDEN LAKES SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY CASON (MANAGER)
(904) 304-0704
Entity
Organization

Contact information

Practice address
5800 RICKER RD, JACKSONVILLE, FL 32244-1605
(904) 257-3472
Mailing address
5800 RICKER RD, JACKSONVILLE, FL 32244-1605
(904) 257-3472

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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