Mental Health Resource Center Inc | |
1636 Shadowood Ln Ste 106 Jacksonville FL 32207-2187 | |
(904) 695-0249 | |
(904) 695-7385 |
Full Name | Mental Health Resource Center Inc |
---|---|
Speciality | Clinic/center - Community Health |
Location | 1636 Shadowood Ln Ste 106, Jacksonville, Florida |
Authorized Official Name and Position | Robert Sommers (PRESIDENT/CEO) |
Authorized Official Contact | 9047431883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mental Health Resource Center Inc Po Box 19249 Jacksonville FL 32245-9249 Ph: (904) 743-1883 | Mental Health Resource Center Inc 1636 Shadowood Ln Ste 106 Jacksonville FL 32207-2187 Ph: (904) 695-0249 |
NPI Number | 1164092029 |
---|---|
Provider Enumeration Date | 07/01/2021 |
Last Update Date | 07/01/2021 |
Certification Date | 07/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164092029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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