NPI 1114331501

Alicia Mitchell

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 5583 Oak Crossing CT, Jacksonville, FL 32244-8202
Phone: (904) 219-8551
Mailing address: 5583 Oak Crossing Court, Jacksonville, FL 32244

Authorised official

Name: Alicia Mitchell
Title: Provider
Phone: (904) 219-8551

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1114331501
Entity type: Organization
NPI issued: 13 Jun 2014
Record last updated: 13 Jun 2014

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.