| Northeast Florida Healthy Start Coalition, Inc. | |
|
6024 Merrill Rd Jacksonville FL 32277-3427 | |
| (904) 723-5422 | |
| Not Available |
| Full Name | Northeast Florida Healthy Start Coalition, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6024 Merrill Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Faye Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9047235422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Florida Healthy Start Coalition, Inc. 644 Cesery Blvd Ste 210 Jacksonville FL 32211-7165 Ph: (904) 723-5422 | Northeast Florida Healthy Start Coalition, Inc. 6024 Merrill Rd Jacksonville FL 32277-3427 Ph: (904) 723-5422 |
| NPI Number | 1598391807 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598391807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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