Organization
NORTHWEST BEHAVIORAL HLTH SVS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA SAMPSON (EXECUTIVE DIRECTOR)
(904) 787-7797
Entity
Organization
Contact information
Practice address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 781-7797
(904) 787-8685
Mailing address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 781-7797
(904) 787-8685
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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