Organization
SAVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC SINGLETARY MA (CEO)
(904) 329-0024
Entity
Organization
Contact information
Practice address
6411 ARLINGTON RD STE 1, JACKSONVILLE, FL 32211-5757
(904) 684-2894
Mailing address
6411 ARLINGTON RD STE 1, JACKSONVILLE, FL 32211-5757
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121973400
—
FL
Enumeration date
03/26/2024
Last updated
08/31/2024
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