Organization
JACKSONVILLE YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WINTZ (ADMINISTRATOR)
(904) 724-6488
Entity
Organization
Contact information
Practice address
202 CENTURY 21 DR, SUITE 1, JACKSONVILLE, FL 32216-6812
(904) 724-6488
(904) 724-6072
Mailing address
202 CENTURY 21 DR, SUITE 1, JACKSONVILLE, FL 32216-6812
(904) 724-6488
(904) 724-6072
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
10609100000
FL
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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