NPI 1497497234

River Region Human Services Residential

Organisation Mental Illness Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 2981 Parental Home Rd, Jacksonville, FL 32216-5797
Phone: (904) 899-6300
Mailing address: 3901 Carmichael Ave, Jacksonville, FL 32207-2325

Authorised official

Name: John Distefano
Title: Consultant
Phone: (352) 317-3214

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: 1497497234
Entity type: Organization
NPI issued: 12 Apr 2022
Record last updated: 12 Apr 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.