NPI 1497038061

Children's Home Society

Organisation Mental Illness Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 3027 San Diego Rd, Jacksonville, FL 32207-3691
Phone: (904) 493-7743

Authorised official

Name: Melissa Poole
Title: Clinical Director
Phone: (904) 238-3638

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: 1497038061
Entity type: Organization
NPI issued: 21 Sep 2011
Record last updated: 21 Sep 2011

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.