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Organization

RIVER REGION HUMAN SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DISTEFANO (CLINICAL CONSULTANT)
(352) 317-3214
Entity
Organization

Contact information

Practice address
3901 CARMICHAEL AVE, JACKSONVILLE, FL 32207-2325
(904) 899-6300
Mailing address
3901 CARMICHAEL AVE, JACKSONVILLE, FL 32207-2325
(904) 899-6300

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060605700
FL
Enumeration date
02/21/2007
Last updated
04/12/2022
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