Mental Health Resource Center INC
Clinic/Center, Community Health in Jacksonville, FL. Organization (NPI-2).
NPI number1164092029
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1164092029
- Entity type
- Organization (NPI-2)
- Legal business name
- Mental Health Resource Center INC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1636 Shadowood Ln Ste 106Jacksonville, FL 32207-2187
Phone 904-695-0249 · Fax 904-695-7385
Mailing address
Po Box 19249Jacksonville, FL 32245-9249
Phone 904-743-1883 · Fax 904-743-5309
Authorized official
Robert Sommers
President/Ceo
9047431883
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