Angel Kids Foundation, INC
Psychologist in Jacksonville, FL. Organization (NPI-2).
NPI number1508578295
StatusActive
Last updated in NPPESDec 14, 2022
Details
- NPI
- 1508578295
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Kids Foundation, INC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2022
- Certification date
- Dec 14, 2022
- Last updated
- Dec 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
4160 Boulevard Center DrJacksonville, FL 32207-2805
Phone 904-224-5437
Mailing address
4160 Boulevard Center DrJacksonville, FL 32207-2805
Authorized official
Sarah Sayar
Executive Director
9043821022
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