Organization
TURNAROUND RETREAT
Active
Organization
TURNAROUND RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONEESHA SINGLETON (ADMINISTRATOR)
(904) 305-8828
Entity
Organization
Contact information
Practice address
1159 E 13TH ST, JACKSONVILLE, FL 32206-3105
(904) 660-8835
Mailing address
1159 E 13TH ST, JACKSONVILLE, FL 32206-3105
(904) 660-8835
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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