NPI 1053706507
Successful Women Acknowledged
Practice location
- Address
- 5991 Chester Ave STE 211, Jacksonville, FL 32217-2245
- Phone
- (904) 566-0200
Authorised official
- Name
- Tiffany S Wells
- Title
- Founder Ceo
- Phone
- (904) 566-0200
Registered specialties (4)
Case Management Agency
Primary
Public Health or Welfare Agency
Community/Behavioral Health Agency
Voluntary or Charitable Agency
Registry record
- NPI
- 1053706507
- Entity type
- Organization
- NPI issued
- 1 Apr 2015
- Record last updated
- 1 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.