A Safe Place Behavioral Health
Social Worker, Clinical in Jacksonville, FL. Organization (NPI-2).
NPI number1689318321
StatusActive
Last updated in NPPESApr 27, 2022
Details
- NPI
- 1689318321
- Entity type
- Organization (NPI-2)
- Legal business name
- A Safe Place Behavioral Health
- Organization subpart
- No
- Enumeration date
- Apr 27, 2022
- Certification date
- Apr 27, 2022
- Last updated
- Apr 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
10151 Deerwood Park Blvd200-250
Jacksonville, FL 32256
Phone 904-479-6494
Mailing address
10151 Deerwood Park Blvd200-250
Jacksonville, FL 32256
Phone 904-479-6494
Authorized official
Kimberly Andre
Manager/Clinical Social Worker
3059046565
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