First Coast Behavior Solutions, Llc

NPI 1720326382 - Counselor - 101YM0800X

NPI Details
NPI 1720326382
Enumeration Date 01/16/2013
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KIMBERLY KIMBERLY
Position OWNER/ CLINICAL DIRECTOR
Phone (904) 476-8956
Fax
Practice Location
5058 BLACKBURN ST
JACKSONVILLE FL, 32210-4120, US
Phone (904) 476-8956
Fax
Business Location
5058 BLACKBURN ST
JACKSONVILLE FL, 32210-4120, US
Phone (904) 476-8956
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH-10245
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According to our database, First Coast Behavior Solutions, Llc NPI is 1720326382, taxonomy code is 101YM0800X and license number is MH-10245, license state is located at Florida. First Coast Behavior Solutions, Llc physically located at 5058 Blackburn St, Jacksonville FL, 32210-4120. NPI Number 1033115704 has the healthcare provider type.

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1720326382 NPI number is provided on an as is basis without warranty of any kind. 1720326382 is maintained by the National Plan & Provider Enumeration System. The contents of First Coast Behavior Solutions, Llc are for informational purposes only.