Organization
BOYS' HOME ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY MELCOLM KING LCSW (CLINICAL DIRECTOR)
(904) 421-6088
Entity
Organization
Contact information
Practice address
2354 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3228
(904) 421-6088
(904) 743-8376
Mailing address
2354 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3228
(904) 421-6088
(904) 743-8376
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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