Organization
RENEW FAMILY COUNSELING
Active
Organization
RENEW FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS GONZALEZ (CEO)
(912) 674-9046
Entity
Organization
Contact information
Practice address
8613 OLD KINGS RD S, SUITE 601, JACKSONVILLE, FL 32217-4807
(912) 674-9046
(912) 673-8853
Mailing address
233 GREENBRIAR RD, KINGSLAND, GA 31548-5445
(912) 674-9046
(912) 673-8853
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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