Andbtcop Inc | |
320 1st St N Ste 612 Jacksonville Beach FL 32250-6947 | |
(334) 647-1009 | |
(888) 856-7677 |
Full Name | Andbtcop Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 320 1st St N Ste 612, Jacksonville Beach, Florida |
Authorized Official Name and Position | Jefkida Lasha Johnson (CEO) |
Authorized Official Contact | 3343200084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Andbtcop Inc 320 1st St N Ste 612 Jacksonville Beach FL 32250-6947 Ph: (334) 647-1009 | Andbtcop Inc 320 1st St N Ste 612 Jacksonville Beach FL 32250-6947 Ph: (334) 647-1009 |
NPI Number | 1306104872 |
---|---|
Provider Enumeration Date | 05/02/2012 |
Last Update Date | 04/26/2022 |
Certification Date | 04/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306104872 | NPI | - | NPPES |
840832 | Medicaid | FL | |
241522 | Medicaid | AL |
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