| Mental Health Resource Center Inc | |
|
1636 Shadowood Ln Ste 106 Jacksonville FL 32207-2187 | |
| (904) 695-0249 | |
| (904) 695-7385 |
| Full Name | Mental Health Resource Center Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1636 Shadowood Ln Ste 106, Jacksonville, Florida |
| Authorized Official Name and Position | Robert Sommers (PRESIDENT/CEO) |
| Authorized Official Contact | 9047431883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Resource Center Inc Po Box 19249 Jacksonville FL 32245-9249 Ph: (904) 743-1883 | Mental Health Resource Center Inc 1636 Shadowood Ln Ste 106 Jacksonville FL 32207-2187 Ph: (904) 695-0249 |
| NPI Number | 1164092029 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164092029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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