Organization
BJ & D COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERTICIA BLACK (OWNER)
(904) 343-9230
Entity
Organization
Contact information
Practice address
1255 ORTON ST, JACKSONVILLE, FL 32205-6348
(904) 343-9230
Mailing address
1255 ORTON ST, JACKSONVILLE, FL 32205-6348
(904) 343-9230
(904) 369-0644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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