Organization
NORTHEAST FLORIDA EQUESTRIAN SOCIETY/H.O.R.S.E. THERAPIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SYKES (PROGRAM DIRECTOR)
(904) 576-7491
Entity
Organization
Contact information
Practice address
13611 NORMANDY BLVD, JACKSONVILLE, FL 32221-2409
(904) 576-7491
Mailing address
13611 NORMANDY BLVD, JACKSONVILLE, FL 32221-2409
(904) 576-7491
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/19/2022
Last updated
07/06/2022
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