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9521 Shellie Rd Ste 13 Jacksonville FL 32257-6174 | |
| (904) 930-4244 | |
| (954) 256-8140 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9521 Shellie Rd Ste 13, Jacksonville, Florida |
| Authorized Official Name and Position | Freda Stevens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9049304244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9838 Old Baymeadows Rd # 267 Jacksonville FL 32256-8101 Ph: (904) 930-4244 | 9521 Shellie Rd Ste 13 Jacksonville FL 32257-6174 Ph: (904) 930-4244 |
| NPI Number | 1184153934 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 06/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184153934 | NPI | - | NPPES |
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