NPI 1396298915

Lavon M. Gainey

Organisation Mental Illness Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 11265 Alumni Way, Jacksonville, FL 32246-6685
Phone: (904) 518-6090

Authorised official

Name: Marcus de Carvalho
Title: Medical Director
Phone: (904) 398-2020

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Florida →

Registry record

NPI: 1396298915
Entity type: Organization
NPI issued: 1 Aug 2016
Record last updated: 1 Aug 2016

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.