NPI 1255847778

Bridgett Denise Braxton

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

Practice location

Address: 6124 Goodman Rd, Jacksonville, FL 32244-1933
Phone: (901) 338-9821

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: 1255847778
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2017
Record last updated: 20 Dec 2017

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.