| Psi Behavioral Health, Llc | |
|
3890 Dunn Ave Sutie 1104 Jacksonville FL 32218-6428 | |
| (904) 723-6049 | |
| Not Available |
| Full Name | Psi Behavioral Health, Llc |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 3890 Dunn Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Ricky Wallace (CEO) |
| Authorized Official Contact | 9047236049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psi Behavioral Health, Llc 3890 Dunn Ave Sutie 1104 Jacksonville FL 32218-6428 Ph: (904) 723-6049 | Psi Behavioral Health, Llc 3890 Dunn Ave Sutie 1104 Jacksonville FL 32218-6428 Ph: (904) 723-6049 |
| NPI Number | 1154762284 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154762284 | NPI | - | NPPES |
| 009163800 | Medicaid | FL |
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