| Clay Behavioral Health Center, Inc. | |
|
1345 Idlewild Ave Bldg D Green Cove Springs FL 32043-3804 | |
| (904) 529-2233 | |
| Not Available |
| Full Name | Clay Behavioral Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1345 Idlewild Ave Bldg D, Green Cove Springs, Florida |
| Authorized Official Name and Position | Holly Mccann (ADMINISTRATIVE ASST./ CREDENTIALING) |
| Authorized Official Contact | 9042915561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Behavioral Health Center, Inc. 1726 Kingsley Ave Ste 2 Orange Park FL 32073-4411 Ph: (904) 278-5644 | Clay Behavioral Health Center, Inc. 1345 Idlewild Ave Bldg D Green Cove Springs FL 32043-3804 Ph: (904) 529-2233 |
| NPI Number | 1417520214 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417520214 | NPI | - | NPPES |
| 060411904 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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