| Children And Adolescent Behavioral Health Group Pllc | |
|
12220 Atlantic Blvd Ste 130 Jacksonville FL 32225-5826 | |
| (352) 612-2632 | |
| Not Available |
| Full Name | Children And Adolescent Behavioral Health Group Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 12220 Atlantic Blvd Ste 130, Jacksonville, Florida |
| Authorized Official Name and Position | Reeva Morton (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 4439969471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Adolescent Behavioral Health Group Pllc 12220 Atlantic Blvd Ste 130 Jacksonville FL 32225-5826 Ph: () - | Children And Adolescent Behavioral Health Group Pllc 12220 Atlantic Blvd Ste 130 Jacksonville FL 32225-5826 Ph: (352) 612-2632 |
| NPI Number | 1285378844 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285378844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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