Whalio Doctors

NPI 1457603060

Five S.T.A.R. Veterans Center, INC

Organisation Mental Illness Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address
40 Acme St, Jacksonville, FL 32211
Phone
(904) 723-5950
Fax
(904) 723-5952
Mailing address
40 Acme St, Jacksonville, FL 32211-7953

Authorised official

Name
Dennis Nelson Cain
Title
Staff Therapist
Phone
(904) 723-5950

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Cognitive & Behavioral Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TB0200X
VA Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QV0200X

Registry record

NPI
1457603060
Entity type
Organization
NPI issued
5 Oct 2012
Record last updated
21 Jul 2022

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.