Bold City Behavioral Health
Community/Behavioral Health in Jacksonville, FL. Organization (NPI-2).
NPI number1295607828
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1295607828
- Entity type
- Organization (NPI-2)
- Legal business name
- Bold City Behavioral Health
- Organization subpart
- No
- Enumeration date
- Sep 23, 2025
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2631 Forbes StJacksonville, FL 32204-4224
Phone 904-339-5048
Mailing address
476 Riverside AveJacksonville, FL 32202-4912
Phone 904-339-5048
Authorized official
Alice Abdur-Razzaaq
Ceo
9043395048
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