| Northwest Bhvrl Hlth Svs,inc | |
|
2392 Edgewood Ave N Jacksonville FL 32254-1725 | |
| (904) 781-7797 | |
| Not Available |
| Full Name | Northwest Bhvrl Hlth Svs,inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2392 Edgewood Ave N, Jacksonville, Florida |
| Authorized Official Name and Position | Patricia Sampson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9047817797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Bhvrl Hlth Svs,inc 2392 Edgewood Ave N Jacksonville FL 32254-1725 Ph: (904) 781-7797 | Northwest Bhvrl Hlth Svs,inc 2392 Edgewood Ave N Jacksonville FL 32254-1725 Ph: (904) 781-7797 |
| NPI Number | 1194941773 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194941773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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