Lifeskills South Florida Outpatient Llc | |
10199 Southside Blvd Ste 204 Jacksonville FL 32256-6716 | |
(954) 834-5099 | |
Not Available |
Full Name | Lifeskills South Florida Outpatient Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 10199 Southside Blvd Ste 204, Jacksonville, Florida |
Authorized Official Name and Position | Scott Sarnacke (CFO) |
Authorized Official Contact | 6158648154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeskills South Florida Outpatient Llc 10199 Southside Blvd Ste 204 Jacksonville FL 32256-6716 Ph: () - | Lifeskills South Florida Outpatient Llc 10199 Southside Blvd Ste 204 Jacksonville FL 32256-6716 Ph: (954) 834-5099 |
NPI Number | 1073385175 |
---|---|
Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073385175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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